HEAD PEDIATRICS PLLC NPI 1255725982

NPI Information

  • NPI: 1255725982
  • Provider Name: HEAD PEDIATRICS PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 45D2135467
  • Address: 2714 N UNIVERSITY DR
    STE 100
    NACOGDOCHES, TX
    ZIP 75965
  • Phone: (936) 305-5050

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NPI Details

HEAD PEDIATRICS PLLC is a pediatrics in Nacogdoches, 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. HEAD PEDIATRICS PLLC NPI is 1255725982. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2714 N UNIVERSITY DR
STE 100
NACOGDOCHES, TX
ZIP 75965-973
Phone: (936) 305-5050
Fax: (936) 305-5050

The provider's authorized official is Ryan Head .
The authorized official title is Sole Member and has the following contact phone number (936) 305-5050.

The CLIA number assigned to this NPI record is 45D2135467 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 3/19/2015.

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
1208000000XPediatricsQ3007TEXASYes

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: 3/30/2025

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