MOMS2MOMS PEDIATRICS PLLC NPI 1295868842

NPI Information

  • NPI: 1295868842
  • Provider Name: MOMS2MOMS PEDIATRICS PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: JOLLYVILLE PEDIATRICS
  • CLIA Number: 45D2092100
  • Address: 11851 JOLLYVILLE RD
    SUITE 204
    AUSTIN, TX
    ZIP 78759
  • Phone: (512) 219-5550

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NPI Details

MOMS2MOMS PEDIATRICS PLLC is a pediatrics in Austin, 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. MOMS2MOMS PEDIATRICS PLLC NPI is 1295868842. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jollyville Pediatrics.

The provider's business location address is:

11851 JOLLYVILLE RD
SUITE 204
AUSTIN, TX
ZIP 78759-338
Phone: (512) 219-5550
Fax: (512) 219-5551

The provider's authorized official is Nitzia Cepeda .
The authorized official title is Mbr and has the following contact phone number (512) 219-5550.

The CLIA number assigned to this NPI record is 45D2092100 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsL6823TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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