River Ridge Pediatrics, P.a.

NPI #1790042158 in Georgetown, Texas

Provider Information

NPI Number: 1790042158
Entity Type: Organization
Organization Name: River Ridge Pediatrics, P.a.
Primary Specialty: Pediatrics
Enumeration Date: Apr 23, 2012
Last Updated: Apr 23, 2012

Practice Location

Address: 1526 LEANDER RD
City: Georgetown
State: Texas
ZIP Code: 78628-8801
Phone: (512) 930-1309

Authorized Official

Name: ADANA MILLIKEN GIPSON, M.D.
Title: PRESIDENT/MEDICAL DIRECTOR
Phone: (512) 930-1309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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