Livingston Pediatric Clinic PA

NPI #1609055904 in Cleveland, Texas

Provider Information

NPI Number
1609055904
Entity Type
Organization
Organization Name
Livingston Pediatric Clinic PA
Primary Specialty
Pediatrics - Adolescent Medicine
Enumeration Date
Nov 2, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
206 S COLLEGE AVE
State
Texas
ZIP Code
77327-4504
Phone
(281) 592-6000

Authorized Official

Name
JULIE LAIRMORE
Title
PRACTICE ADMINISTRATOR
Phone
(936) 328-8812

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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