Children's International, LLC
NPI #1023549219 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1023549219
- Entity Type
- Organization
- Organization Name
- Children's International, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 21, 2017
- Last Updated
- Mar 21, 2017
Practice Location
- Address
- 15465 OAK LN
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-2663
- Phone
- (228) 831-8800
Authorized Official
- Name
- EDUARDO HERNANDEZ
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (985) 646-1580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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