Dominic Ansari Pediatrics, Pllc

NPI #1497130751 in Austin, Texas

Provider Information

NPI Number: 1497130751
Entity Type: Organization
Organization Name: Dominic Ansari Pediatrics, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Jul 28, 2015
Last Updated: Aug 13, 2015

Practice Location

Address: 2028 E BEN WHITE BLVD
Address 2: STE 240A
City: Austin
State: Texas
ZIP Code: 78741-6966
Phone: (832) 930-1366

Authorized Official

Name: DR. DOMINIC OMAR ANSARI, M.D.
Title: MANAGING MEMBER
Phone: (832) 930-1366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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