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PARK VALLEY PEDIATRICS P.L.L.C. NPI 1033598123


NPI Information

NPI: 1033598123
Provider Name: PARK VALLEY PEDIATRICS, P.L.L.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D1085178

Address:
16040 PARK VALLEY DR
SUITE # 227
ROUND ROCK, TX
ZIP 78681
Phone: (512) 255-7337
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PARK VALLEY PEDIATRICS, P.L.L.C. is a pediatrics in Round Rock, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PARK VALLEY PEDIATRICS, P.L.L.C. NPI is 1033598123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16040 PARK VALLEY DR
SUITE # 227
ROUND ROCK, TX
ZIP 78681-578
Phone: (512) 255-7337
Fax: (512) 828-0451

The provider's authorized official is Sam Hathaway .
The authorized official title is Billing/credentialing and has the following contact phone number (512) 255-7337.

The CLIA number assigned to this NPI record is 45D1085178 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 5/22/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 5/5/2024

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