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Contact Information

PEDIATRIC INFECTIOUS DISEASES AND TRAVEL CLINIC OF LAREDO, PA
3826 CRESTWIND
LAREDO, TX78045-8190
 Phone: 917-916-9172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC INFECTIOUS DISEASES AND TRAVEL CLINIC OF LAREDO, PA

NPI Number 1336411594
LBN Legal business name PEDIATRIC INFECTIOUS DISEASES AND TRAVEL CLINIC OF LAREDO, PA
Authorized official OMOLARA ADERINBOYE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2012
Last updated 02/03/2012 - About 14 years ago
Identifiers
TX License # N4233
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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