Wimberley Pediatrics & Adolescent Medicine, P.a.

NPI 1518076520 - Pediatrics - 208000000X

NPI Details
NPI 1518076520
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICOLE LEIGH NICOLE
Position PRACTICE ADMINISTRATOR
Phone (512) 847-7700
Fax (512) 847-7701
Practice Location
180 JOE WIMBERLEY BLVD
SUITE 102
WIMBERLEY TX, 78676-5997, US
Phone (512) 847-7700
Fax (512) 847-7701
Business Location
180 JOE WIMBERLEY BLVD
SUITE 102
WIMBERLEY TX, 78676-5997, US
Phone (512) 847-7700
Fax (512) 847-7701
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number L1706
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According to our database, Wimberley Pediatrics & Adolescent Medicine, P.a. NPI is 1518076520, taxonomy code is 208000000X and license number is L1706, license state is located at Texas. Wimberley Pediatrics & Adolescent Medicine, P.a. physically located at 180 Joe Wimberley Blvd, Wimberley TX, 78676-5997. NPI Number 1033115704 has the healthcare provider type.

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1518076520 NPI number is provided on an as is basis without warranty of any kind. 1518076520 is maintained by the National Plan & Provider Enumeration System. The contents of Wimberley Pediatrics & Adolescent Medicine, P.a. are for informational purposes only.