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BEE CAVES PEDIATRICS P.A. NPI 1306033956


NPI Information

NPI: 1306033956
Provider Name: BEE CAVES PEDIATRICS, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D0667703

Address:
2499 S CAPITAL OF TEXAS HWY
BUILDING B, SUITE 100
AUSTIN, TX
ZIP 78746
Phone: (512) 328-7666
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BEE CAVES PEDIATRICS, P.A. is a specialist in Austin, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BEE CAVES PEDIATRICS, P.A. NPI is 1306033956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2499 S CAPITAL OF TEXAS HWY
BUILDING B, SUITE 100
AUSTIN, TX
ZIP 78746-762
Phone: (512) 328-7666
Fax: (512) 328-3547

The provider's authorized official is Jerome James Hudson .
The authorized official title is President - Pediatrician and has the following contact phone number (512) 328-7666.

The CLIA number assigned to this NPI record is 45D0667703 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.


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
1174400000XSpecialistE2628TEXASYes

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: 4/28/2024

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