| Organization Name: | ALLSTAR PEDIATRICS |
| NPI Number: | 1215174958 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIRZA ASHHAB BEG (CEO) |
| Mailing Address: | 935 Verone Ter Suite B Leesville |
| State: | LA US |
| Postal Code: | 714464255 |
| Phone Number: | 3373921545 |
| Fax Number: | 3373921686 |
| NPI Enumeration Date: | 01/16/2009 |
| NPI Last Update Date: | 03/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 13469R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |