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PEDIATRIC AND ENDOCRINOLOGY PLLC NPI 1215139340


NPI Information

NPI: 1215139340
Provider Name: PEDIATRIC AND ENDOCRINOLOGY PLLC

Doing Business As: PEDIATRICS & ENDOCRINOLOGY

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 19D0986146

Address:
17115 RED OAK DRIVE
SUITE 120
HOUSTON, TX
ZIP 77090
Phone: (281) 781-8144
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PEDIATRIC AND ENDOCRINOLOGY PLLC 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. PEDIATRIC AND ENDOCRINOLOGY PLLC NPI is 1215139340. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pediatrics & Endocrinology.

The provider's business location address is:

17115 RED OAK DRIVE
SUITE 120
HOUSTON, TX
ZIP 77090-641
Phone: (281) 781-8144
Fax: (281) 781-8853

The provider's authorized official is Naila Yunus Soorty .
The authorized official title is Md and has the following contact phone number (281) 781-8144.

The CLIA number assigned to this NPI record is 19D0986146 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 4/6/2020.


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
12080P0205XPediatricsPediatric EndocrinologyNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11285638676OTHERLOUISIANANPI-TYPE I
2290275101MEDICAIDTEXAS
31550108MEDICAIDLOUISIANA

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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