Organization · Type 2 NPI
Kingsville Pediatric Clinic
Specialist · Kingsville, TX
NPI number
1962685057
Active
Practice location
1311 General Cavazos Blvd Ste J
Kingsville, TX 78363-7129
Fax (361) 595-1050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | J4694 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1962685057
Kingsville Pediatric Clinic's National Provider Identifier is 1962685057, issued on Dec 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kingsville, TX. The record was last updated on Dec 11, 2007.