CHILDREN'S INTERNATIONAL LLC NPI 1023549219

NPI Information

CHILDREN'S INTERNATIONAL, LLC is a primary care clinic center in Gulfport, MS. CHILDREN'S INTERNATIONAL, LLC NPI is 1023549219. The provider is registered as an organization entity type.

The provider's business location address is:

15465 OAK LN
GULFPORT, MS
ZIP 39503-663
Phone: (228) 831-8800
Fax: (228) 831-8020

The provider's authorized official is Eduardo Hernandez .
The authorized official title is Chief Executive Officer and has the following contact phone number (985) 646-1580.

The CLIA number assigned to this NPI record is 25D2091148 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.

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:

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