Organization · NPI-2

Ab Pediatric Health Clinic Too PLLC

Pediatrics, Adolescent Medicine · El Paso, TX

NPI number1073265104
StatusActive
Last updated in NPPESJan 25, 2022

Details

NPI
1073265104
Entity type
Organization (NPI-2)
Legal business name
Ab Pediatric Health Clinic Too PLLC
Organization subpart
No
Enumeration date
Jan 20, 2022
Certification date
Jan 25, 2022
Last updated
Jan 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine––Yes
208000000X Pediatrics––

Practice location

12001 Tierra Este Rd
El Paso, TX 79938-4573

Phone 915-295-0455 · Fax 915-706-4028

Mailing address

1500 Finsterwald Pl
El Paso, TX 79936-6011

Phone 817-209-4946

Authorized official

Andres D Boadella
Owner
9155770455

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