Medina Valley Pediatrics, Pllc

NPI #1568901619 in Castroville, Texas

Provider Information

NPI Number: 1568901619
Entity Type: Organization
Organization Name: Medina Valley Pediatrics, Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Feb 21, 2017
Last Updated: Aug 7, 2017

Practice Location

Address: 1028 COUNTRY LN
City: Castroville
State: Texas
ZIP Code: 78009-5027
Phone: (210) 232-6464

Authorized Official

Name: MRS. KATIE SUE RUSSELL, RN, MSN, CPNP
Title: PRESIDENT
Phone: (830) 355-2732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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