University Pediatric Childrens Foundation

NPI #1093948887 in College Station, Texas

Provider Information

NPI Number: 1093948887
Entity Type: Organization
Organization Name: University Pediatric Childrens Foundation
Primary Specialty: Pediatrics
Enumeration Date: Aug 27, 2009
Last Updated: Jun 20, 2012

Practice Location

Address: 1602 ROCK PRAIRIE RD
Address 2: SUITE 310
City: College Station
State: Texas
ZIP Code: 77845-8306
Phone: (979) 764-8308

Authorized Official

Name: AMY BALDOBINO, CPC
Title: CREDENTIALING COORDINATOR
Phone: (979) 696-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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