Cibolo-South Texas Center for Pediatric Care

NPI #1184102147 in Cibolo, Texas

Provider Information

NPI Number: 1184102147
Entity Type: Organization
Organization Name: Cibolo-South Texas Center for Pediatric Care
Primary Specialty: Pediatrics
Enumeration Date: Aug 1, 2018
Last Updated: Aug 1, 2018

Practice Location

Address: 580 CIBOLO VALLEY DRIVE
Address 2: SUITE 221
City: Cibolo
State: Texas
ZIP Code: 78108
Phone: (210) 561-3100

Authorized Official

Name: DIANNA M BURNS, MD
Title: MEDICAL DIRECTOR
Phone: (210) 561-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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