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PEDIATRIC CRITICAL CARE ASSOCIATES NPI 1962414334


NPI Information

NPI: 1962414334
Provider Name: PEDIATRIC CRITICAL CARE ASSOCIATES
Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

CLIA Number: 45D0902751

Address:
4900 MUELLER BLVD
AUSTIN, TX
ZIP 78723
Phone: (512) 324-0000
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PEDIATRIC CRITICAL CARE ASSOCIATES is a pediatric critical care medicine pediatrics in Austin, TX. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. PEDIATRIC CRITICAL CARE ASSOCIATES NPI is 1962414334. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4900 MUELLER BLVD
AUSTIN, TX
ZIP 78723-079
Phone: (512) 324-0000
Fax: (512) 324-0721

The provider's authorized official is David Anglin .
The authorized official title is President and has the following contact phone number (512) 324-0000.

The CLIA number assigned to this NPI record is 45D0902751 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/22/2011.


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
12080P0203XPediatricsPediatric Critical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10A6248MEDICARE PINTEXAS
2173703301MEDICAIDTEXAS

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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