| Organization Name: | TKZ PEDIATRICS LLC |
| NPI Number: | 1184964975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAIRA LYNN WOODROFFE (PHYSICIAN/OWNER) |
| Mailing Address: | 9305 Main St Suite D Zachary |
| State: | LA US |
| Postal Code: | 707917441 |
| Phone Number: | 2256587860 |
| Fax Number: | 2256587862 |
| NPI Enumeration Date: | 02/15/2013 |
| NPI Last Update Date: | 02/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MD204356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |