Organization · Type 2 NPI
Livingston Pediatric Clinic PA
Pediatric Adolescent Medicine Physician · Cleveland, TX
NPI number
1609055904
Active
Practice location
206 S College Ave
Cleveland, TX 77327-4504
Fax (936) 328-8815
Mailing address
400 Ogletree Dr
Livingston, TX 77351-6783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | None listed |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
3 other providers at this address
About NPI 1609055904
Livingston Pediatric Clinic PA's National Provider Identifier is 1609055904, issued on Nov 2, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Cleveland, TX. The record was last updated on Apr 20, 2008.