Organization Name: | THE PEDIATRIC CARE CENTER |
NPI Number: | 1437575172 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARIA E BABINEAUX (MEDICAL DIRECTOR) |
Mailing Address: | 1804 N Us Highway 83 Zapata |
State: | TX US |
Postal Code: | 780763603 |
Phone Number: | 9562659040 |
Fax Number: | 9567503352 |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |