National Provider Identifier Database

NASA PEDIATRICS PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

NASA PEDIATRICS, PLLC
4014 WOODLAWN AVE
SUITE A
PASADENA, TX77504
Phone: 713-239-0980
Fax: 281-464-3832
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for NASA PEDIATRICS, PLLC

NPI Number 1235508805
Legal business name
LBN
NASA PEDIATRICS, PLLC
Authorized official IDALIA RIVERA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/24/2015
Last updated 05/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: J5879
  • TX Medicaid: 2130981

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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