Los Alamos Pediatric Services PA

NPI #1639593577 in Alamo, Texas

Provider Information

NPI Number
1639593577
Entity Type
Organization
Organization Name
Los Alamos Pediatric Services PA
Primary Specialty
Pediatrics
Enumeration Date
Feb 12, 2014
Last Updated
Feb 12, 2014

Practice Location

Address
1449 W DURANTA AVE STE 3
City
Alamo
State
Texas
ZIP Code
78516-2328
Phone
(956) 283-0566

Authorized Official

Name
DR. MARTEL SAMUELS, M.D.
Title
PRESIDENT
Phone
(956) 283-0566

Specialties & Taxonomy Codes

Specialty
Pediatrics

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Provider Name
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