Pediatric Practice Association
NPI #1184869091 in Rio Grande City, Texas
Provider Information
- NPI Number
- 1184869091
- Entity Type
- Organization
- Organization Name
- Pediatric Practice Association
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 5, 2008
- Last Updated
- Dec 5, 2008
Practice Location
- Address
- 5322 E HWY 83 STE C4
- City
- Rio Grande City
- State
- Texas
- ZIP Code
- 78582-9461
- Phone
- (956) 488-0330
Authorized Official
- Name
- GLORIA GONZALEZ
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (956) 488-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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