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MEDAGENE CLINIC PA NPI 1932487949


NPI Information

NPI: 1932487949
Provider Name: MEDAGENE CLINIC PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D0965514

Address:
6655 HILLCROFT
#105
HOUSTON, TX
ZIP 77081
Phone: (713) 779-1633
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MEDAGENE CLINIC PA is a pediatrics in Houston, 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. MEDAGENE CLINIC PA NPI is 1932487949. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6655 HILLCROFT
#105
HOUSTON, TX
ZIP 77081
Phone: (713) 779-1633
Fax: (713) 995-5914

The provider's authorized official is Gonzalo Uribe-botero .
The authorized official title is Owner and has the following contact phone number (713) 779-1633.

The CLIA number assigned to this NPI record is 45D0965514 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2011 and was last updated on 7/25/2011.


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
1208000000XPediatricsE1956TEXASYes

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: 11/14/2023

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