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PLUM LLC NPI 1114675253


NPI Information

NPI: 1114675253
Provider Name: PLUM LLC

Doing Business As: PLUM PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2256915

Address:
807 TRADEWINDS BLVD
MIDLAND, TX
ZIP 79706
Phone: (432) 288-8482
Get Directions

PLUM LLC is a pediatrics in Midland, 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. PLUM LLC NPI is 1114675253. The provider is registered as an organization entity type.
The provider Is Doing Business As Plum Pediatrics.

The provider's business location address is:

807 TRADEWINDS BLVD
MIDLAND, TX
ZIP 79706-163
Phone: (432) 288-8482

The provider's authorized official is Amanda Jo Hughes .
The authorized official title is Nurse Practitioner and has the following contact phone number (432) 288-8482.

The CLIA number assigned to this NPI record is 45D2256915 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2022 and was last updated on 7/15/2022.


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
1261QP2300XClinic/CenterPrimary CareNo
2363LP0200XNurse PractitionerPediatricsNo
3208000000XPediatricsYes

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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