BEANSPROUT PEDIATRICS NPI 1174841456

NPI Information

BEANSPROUT PEDIATRICS is an adolescent medicine pediatrics in Austin, 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. BEANSPROUT PEDIATRICS NPI is 1174841456. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13917 W HIGHWAY 71 STE A
AUSTIN, TX
ZIP 78738-008
Phone: (512) 610-7030
Fax: (512) 610-7034

The provider's authorized official is Danielle Denise Grant .
The authorized official title is Owner/physician and has the following contact phone number (512) 610-7030.

The CLIA number assigned to this NPI record is 45D2159391 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 2/12/2019.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.