East Houston Medicine & Pediatrics Clinic Pa in Houston - Adolescent Medicine
East Houston Medicine & Pediatrics Clinic Pa - NPI 1083686091
East Houston Medicine & Pediatrics Clinic Pa is a Adolescent Medicine in Houston, Texas. East Houston Medicine & Pediatrics Clinic Pa practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for East Houston Medicine & Pediatrics Clinic Pa is 1083686091. The last update date is 2017-07-20.
East Houston Medicine & Pediatrics Clinic Pa's current location address is Po Box 24308, Houston, Texas. You can contact this provider via phone number 7134504455 and fax number 7134504737. The mailing address for East Houston Medicine & Pediatrics Clinic Pa is Po Box 24308, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | East Houston Medicine & Pediatrics Clinic Pa |
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Address | Po Box 24308, Houston, Texas |
Phone Number | 7134504455 |
Fax Number | 7134504737 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER PRES |
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Authorized Official Name | Wilson Antoinne Cornelius |
Credentials | MD |
Telephone Number | 7134504455 |
NPI Number Detail
NPI Number | 1083686091 |
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Provider Enumeration Date | 2006-02-03 |
Last Updated Date | 2017-07-20 |
Provider Mailing Address Detail
Address | Po Box 24308 |
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City | Houston |
State | Texas (TX) |
Post Code | 772294308 |
Phone Number | 7134504455 |
Fax Number | 7134504737 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Ra0000X |
Licence No | J2845 |
Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
0081QD | TX | BLUE CROSS | |
00L66J | TX | BCBS | |
184593501 | TX | -- | |
45D1000292 | TX | CLIA | |
184593502 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to East Houston Medicine & Pediatrics Clinic Pa by the Centers for Medicare & Medicaid Services?
The East Houston Medicine & Pediatrics Clinic Pa has been issued the NPI (National Provider Identifier) 1083686091. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where East Houston Medicine & Pediatrics Clinic Pa's facilities are geographically located?
The facilities of East Houston Medicine & Pediatrics Clinic Pa are physically situated at the following location: Po Box 24308, Houston, TX, 772294308.
What is East Houston Medicine & Pediatrics Clinic Pa's area of expertise and its corresponding taxonomy classification?
The East Houston Medicine & Pediatrics Clinic Pa's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 207Ra0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1083686091 to East Houston Medicine & Pediatrics Clinic Pa?
The Centers for Medicare & Medicaid Services assigned the 1083686091 to East Houston Medicine & Pediatrics Clinic Pa on 2006-02-03.
When was the East Houston Medicine & Pediatrics Clinic Pa's information last updated?
The East Houston Medicine & Pediatrics Clinic Pa's information was last updated on 2017-07-20.
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