Capital Pediatric Group Associates

NPI #1235282112 in Austin, Texas

Provider Information

NPI Number: 1235282112
Entity Type: Organization
Organization Name: Capital Pediatric Group Associates
Primary Specialty: Pediatrics
Enumeration Date: Jan 22, 2007
Last Updated: Jun 30, 2014

Practice Location

Address: 1100 W 39TH 1/2 ST
City: Austin
State: Texas
ZIP Code: 78756-3902
Phone: (512) 454-4545

Authorized Official

Name: DOROTHY CAROLE CAMPBELL
Title: CREDENTIALING SPECIALIST
Phone: (512) 454-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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