PEDIATRIC PRACTICE ASSOCIATION NPI 1700994217

NPI Information

PEDIATRIC PRACTICE ASSOCIATION is a medical physician assistant in Rio Grande City, TX. PEDIATRIC PRACTICE ASSOCIATION NPI is 1700994217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 E 2ND ST
RIO GRANDE CITY, TX
ZIP 78582-803
Phone: (956) 488-1200
Fax: (956) 488-9500

The provider's authorized official is Claudia Cervantes .
The authorized official title is Coo and has the following contact phone number (956) 488-1200.

The CLIA number assigned to this NPI record is 45D1005567 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 8/6/2007.

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:

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