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LAURIE MCKILLIP M.D. P.A. NPI 1992952246


NPI Information

NPI: 1992952246
Provider Name: LAURIE MCKILLIP M.D., P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1120 MEDICAL PLAZA DR
SUITE 250
SHENANDOAH, TX
ZIP 77380
Phone: (281) 296-8500
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LAURIE MCKILLIP M.D., P.A. is a pediatrics in Shenandoah, 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. LAURIE MCKILLIP M.D., P.A. NPI is 1992952246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 MEDICAL PLAZA DR
SUITE 250
SHENANDOAH, TX
ZIP 77380-242
Phone: (281) 296-8500
Fax: (281) 296-8594

The provider's authorized official is Laurie Mckillip .
The authorized official title is Physician/owner and has the following contact phone number (281) 296-8500.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 11/6/2008.


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
1208000000XPediatricsG9021TEXASYes

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
103741OTHERTEXASCIGNA
2586248OTHERTEXASUNITED HEALTHCARE
3976050OTHERTEXASAETNA
4G9021OTHERTEXASTEXAS LICENSE
5E79307OTHERTEXASUPIN
68A0972OTHERTEXASBLUE CROSS & BLUE SHEILD

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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