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LA PROVIDENCE MEDICAL CENTER NPI 1063824829


NPI Information

NPI: 1063824829
Provider Name: LA PROVIDENCE MEDICAL CENTER
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
9644 COURT GLEN DR
HOUSTON, TX
ZIP 77099
Phone: (713) 909-3139
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LA PROVIDENCE MEDICAL CENTER is a pediatrics in Houston, 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. LA PROVIDENCE MEDICAL CENTER NPI is 1063824829. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9644 COURT GLEN DR
HOUSTON, TX
ZIP 77099-541
Phone: (713) 909-3139
Fax: (713) 909-6002

The provider's authorized official is Ifeyinwa Onwudiwe .
The authorized official title is Owner/md and has the following contact phone number (713) 909-3139.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 7/25/2014.


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
1208000000XPediatrics201564LOUISIANAYes

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: 11/14/2023

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