Debra Pennington in Austin - Pediatric Radiology

Debra Pennington - NPI 1891799417

Debra Pennington is a Pediatric Radiology in Austin, Texas. Debra Pennington practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Debra Pennington is 1891799417. The last update date is 2015-01-13.

Debra Pennington's current location address is 12554 Riata Vista Cir, Austin, Texas. You can contact this provider via phone number 5127955100 and fax number 5127955122. The mailing address for Debra Pennington is 12554 Riata Vista Cir, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Debra Pennington
Address 12554 Riata Vista Cir, Austin, Texas
Phone Number 5127955100
Fax Number 5127955122
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891799417
Provider Enumeration Date 2005-06-10
Last Updated Date 2015-01-13

Provider Mailing Address Detail

Address 12554 Riata Vista Cir
City Austin
State Texas (TX)
Post Code 7872764310
Phone Number 5127955100
Fax Number 5127955122

Provider's Primary Taxonomy Detail

Speciality Pediatric Radiology
Taxonomy 2085P0229X
Licence No K8416
Definition:
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
105706903 TX CSHCN1
300108480 RRMCARE
300127115 RRMCARE2
105706904 TX CSHCN2
105706901 TX --
105706902 TX --

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FAQs about Debra Pennington

What is the unique 10-digit identification code assigned to Debra Pennington by the Centers for Medicare & Medicaid Services?

The Debra Pennington has been issued the NPI (National Provider Identifier) 1891799417, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Debra Pennington located?

The Debra Pennington is located at 12554 Riata Vista Cir, Austin, TX 7872764310.

What is Debra Pennington's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Debra Pennington's specialized field of practice is Pediatric Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085P0229X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891799417 to Debra Pennington?

The Centers for Medicare & Medicaid Services originally issued the 1891799417 to Debra Pennington on 2005-06-10.

When was the information pertaining to Debra Pennington most recently updated or revised?

The details related to Debra Pennington, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-13.

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