HUTTO HEALTHY FUTURES PEDIATRIC CLINIC LLC NPI 1396018180

NPI Information

NPI: 1396018180
Provider Name: HUTTO HEALTHY FUTURES PEDIATRIC CLINIC, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
210 HWY 79
STE. 104
HUTTO, TX
ZIP 78634
Phone: (512) 368-0200
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HUTTO HEALTHY FUTURES PEDIATRIC CLINIC, LLC is a medical physician assistant in Hutto, TX. HUTTO HEALTHY FUTURES PEDIATRIC CLINIC, LLC NPI is 1396018180. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 HWY 79
STE. 104
HUTTO, TX
ZIP 78634-533
Phone: (512) 368-0200
Fax: (512) 642-3805

The provider's authorized official is Irene Gonzalez .
The authorized official title is Ceo and has the following contact phone number (512) 368-0200.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.

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
1	363AM0700X	Physician Assistant	Medical	PA04590	TEXAS	Yes

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: 5/5/2024

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