Head Pediatrics Pllc

NPI #1255725982 in Nacogdoches, Texas

Provider Information

NPI Number: 1255725982
Entity Type: Organization
Organization Name: Head Pediatrics Pllc
Primary Specialty: Pediatrics
Enumeration Date: Mar 19, 2015
Last Updated: Mar 19, 2015

Practice Location

Address: 2714 N UNIVERSITY DR
Address 2: STE 100
City: Nacogdoches
State: Texas
ZIP Code: 75965-2973
Phone: (936) 305-5050

Authorized Official

Name: DR. RYAN HEAD, MD
Title: SOLE MEMBER
Phone: (936) 305-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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