Hullabaloo Pediatric Therapy Pllc

NPI 1073991964 - Clinic/Center - 261QP2000X

NPI Details
NPI 1073991964
Enumeration Date 05/11/2015
Last Updated 01/15/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KRISTI L. KRISTI
Position OWNER
Phone (903) 723-3602
Fax (903) 731-9573
Practice Location
2035 CROCKETT RD
PALESTINE TX, 75801-5921, US
Phone (903) 723-3602
Fax (903) 731-9573
Business Location
311 GLENWOOD DR.
PALESTINE TX, 75801, US
Phone (903) 391-8170
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Texas
License Number 1099075
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According to our database, Hullabaloo Pediatric Therapy Pllc NPI is 1073991964, taxonomy code is 261QP2000X and license number is 1099075, license state is located at Texas. Hullabaloo Pediatric Therapy Pllc physically located at 2035 Crockett Rd, Palestine TX, 75801-5921. NPI Number 1033115704 has the healthcare provider type.

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1073991964 NPI number is provided on an as is basis without warranty of any kind. 1073991964 is maintained by the National Plan & Provider Enumeration System. The contents of Hullabaloo Pediatric Therapy Pllc are for informational purposes only.