Elizabeth Reidy Md Pediatrics Pa

NPI 1093864191 - Pediatrics - 208000000X

NPI Details
NPI 1093864191
Enumeration Date 01/09/2007
Last Updated 08/23/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELIZABETH ELIZABETH
Position PRESIDENT, MD
Phone (512) 327-1155
Fax
Practice Location
4201 BEE CAVE RD
SUITE C-100
WEST LAKE HILLS TX, 78746-6465, US
Phone (512) 327-1155
Fax
Business Location
4201 BEE CAVE RD
SUITE C-100
WEST LAKE HILLS TX, 78746-6465, US
Phone (512) 327-1155
Fax
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number K4545
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According to our database, Elizabeth Reidy Md Pediatrics Pa NPI is 1093864191, taxonomy code is 208000000X and license number is K4545, license state is located at Texas. Elizabeth Reidy Md Pediatrics Pa physically located at 4201 Bee Cave Rd, West Lake Hills TX, 78746-6465. NPI Number 1033115704 has the healthcare provider type.

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1093864191 NPI number is provided on an as is basis without warranty of any kind. 1093864191 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Reidy Md Pediatrics Pa are for informational purposes only.