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DELL CHILDREN'S MEDICAL GROUP NPI 1790103869


NPI Information

NPI: 1790103869
Provider Name: DELL CHILDREN'S MEDICAL GROUP

Former Legal Business Name: 'SPECIALLY FOR CHILDREN CHILDREN'S HOSPITAL SUBSPECIALISTS OF CENTRAL

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2266786

Address:
1000 HESTERS CROSSING RD
ROUND ROCK, TX
ZIP 78681
Phone: (512) 628-1800
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DELL CHILDREN'S MEDICAL GROUP is a pediatrics in Round Rock, 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. DELL CHILDREN'S MEDICAL GROUP NPI is 1790103869. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is 'specially For Children Children's Hospital Subspecialists Of Central.

The provider's business location address is:

1000 HESTERS CROSSING RD
ROUND ROCK, TX
ZIP 78681-020
Phone: (512) 628-1800
Fax: (512) 628-1801

The provider's authorized official is Clayton Carsner .
The authorized official title is Vp/coo and has the following contact phone number (512) 324-5846.

The CLIA number assigned to this NPI record is 45D2266786 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2014 and was last updated on 6/27/2023.


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
1207NP0225XDermatologyPediatric DermatologyNo
22080H0002XPediatricsHospice and Palliative MedicineNo
32080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
42080P0201XPediatricsPediatric Allergy/ImmunologyNo
52080P0205XPediatricsPediatric EndocrinologyNo
62080P0206XPediatricsPediatric GastroenterologyNo
72080P0207XPediatricsPediatric Hematology-OncologyNo
82080P0208XPediatricsPediatric Infectious DiseasesNo
92080P0210XPediatricsPediatric NephrologyNo
102080P0216XPediatricsPediatric RheumatologyNo
112084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
12237600000XAudiologist-Hearing Aid FitterNo
13363LP0200XNurse PractitionerPediatricsNo
14208000000XPediatricsYes

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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