Pediatric Clinic of Laporte

NPI #1700064292 in Laporte, Texas

Provider Information

NPI Number: 1700064292
Entity Type: Organization
Organization Name: Pediatric Clinic of Laporte
Primary Specialty: Pediatrics
Enumeration Date: Feb 6, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 10407 WEST FAIRMONT PARKWAY
Address 2: SUITE B
City: Laporte
State: Texas
ZIP Code: 77571
Phone: (281) 867-0291

Authorized Official

Name: MR. RAHMAN SAHADAT UDDIN, MD
Title: PRESIDENT
Phone: (281) 867-0291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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