Superior Pediatrics in Southlake - Primary Care
Superior Pediatrics - NPI 1881811149
Superior Pediatrics is a Primary Care in Southlake, Texas. Superior Pediatrics practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Superior Pediatrics is 1881811149. The last update date is 2008-07-03.
Superior Pediatrics's current location address is 1611 Regal Oaks Dr, Southlake, Texas. You can contact this provider via phone number 8174165372. The mailing address for Superior Pediatrics is 1611 Regal Oaks Dr, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Superior Pediatrics |
|---|---|
| Address | 1611 Regal Oaks Dr, Southlake, Texas |
| Phone Number | 8174165372 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Capati Gungon Remigio |
| Credentials | M.D. |
| Telephone Number | 8174165372 |
NPI Number Detail
| NPI Number | 1881811149 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 1611 Regal Oaks Dr |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760923443 |
| Phone Number | 8174165372 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | J5220 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Superior Pediatrics by the Centers for Medicare & Medicaid Services?
The Superior Pediatrics has been assigned the NPI (National Provider Identifier) 1881811149 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Superior Pediatrics is physically located?
The Superior Pediatrics is physically situated at the following address: 1611 Regal Oaks Dr, Southlake, TX, 760923443.
What is Superior Pediatrics's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Superior Pediatrics is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.
On what date was the 1881811149 assigned to Superior Pediatrics?
The Superior Pediatrics was issued its 1881811149 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Superior Pediatrics most recently updated or revised?
The details related to Superior Pediatrics, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-03.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC