Organization · NPI-2

Cherub Kidz Pediatrics

Clinic/Center · Spring, TX

NPI number1053859637
StatusActive
Last updated in NPPESFeb 3, 2017

Details

NPI
1053859637
Entity type
Organization (NPI-2)
Legal business name
Cherub Kidz Pediatrics
Organization subpart
No
Enumeration date
Feb 3, 2017
Last updated
Feb 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterAP120780TXYes

Practice location

9318 Louetta Rd
Suite 400
Spring, TX 77379-6520

Phone 346-808-5904 · Fax 346-808-5913

Mailing address

9318 Louetta Rd
Suite 400
Spring, TX 77379-6520

Phone 346-808-5904 · Fax 346-808-5913

Authorized official

Deborah Borgman
Provider/ Owner
3468085904

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