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Contact Information

NASA PEDIATRICS, PLLC
4014 WOODLAWN AVE
SUITE A
PASADENA, TX77504
 Phone: 713-239-0980
 Fax: 281-464-3832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NASA PEDIATRICS, PLLC

NPI Number 1235508805
LBN Legal business name NASA PEDIATRICS, PLLC
Authorized official IDALIA RIVERA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2015
Last updated 05/10/2016 - About 10 years ago
Identifiers
TX License # J5879
TX Medicaid 2130981
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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