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AB PEDIATRIC HEALTH CLINIC PLLC NPI 1447789250


NPI Information

NPI: 1447789250
Provider Name: AB PEDIATRIC HEALTH CLINIC PLLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 45D2144481

Address:
1400 N EL PASO ST STE E
EL PASO, TX
ZIP 79902
Phone: (915) 577-0455
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AB PEDIATRIC HEALTH CLINIC PLLC is an adolescent medicine pediatrics in El Paso, TX. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. AB PEDIATRIC HEALTH CLINIC PLLC NPI is 1447789250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 N EL PASO ST STE E
EL PASO, TX
ZIP 79902-438
Phone: (915) 577-0455

The provider's authorized official is Andres Boadella .
The authorized official title is Owner and has the following contact phone number (915) 577-0455.

The CLIA number assigned to this NPI record is 45D2144481 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2017 and was last updated on 12/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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