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IMAGINE PEDIATRICS PLLC NPI 1982335436


NPI Information

NPI: 1982335436
Provider Name: IMAGINE PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2276112

Address:
3200 SOUTHWEST FWY STE 2100
HOUSTON, TX
ZIP 77027
Phone: (833) 208-7770
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IMAGINE PEDIATRICS PLLC 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. IMAGINE PEDIATRICS PLLC NPI is 1982335436. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3200 SOUTHWEST FWY STE 2100
HOUSTON, TX
ZIP 77027-525
Phone: (833) 208-7770

The provider's authorized official is Kenneth Taylor Beery .
The authorized official title is Chief Admin. Officer (cao) and has the following contact phone number (504) 470-4140.

The CLIA number assigned to this NPI record is 45D2276112 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2022 and was last updated on 10/10/2023.


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
1363LP0222XNurse PractitionerPediatrics, Critical CareNo
2363LP0200XNurse PractitionerPediatricsNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5363LF0000XNurse PractitionerFamilyNo
6133VN1004XDietitian, RegisteredNutrition, PediatricNo
71835P0200XPharmacistPediatricsNo
8363A00000XPhysician AssistantNo
9208000000XPediatricsYes

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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