Lighthouse Pediatrics
Pediatrics in Woodway, TX. Organization (NPI-2).
NPI number1144915083
StatusActive
Last updated in NPPESApr 6, 2023
Details
- NPI
- 1144915083
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthouse Pediatrics
- Organization subpart
- No
- Enumeration date
- Apr 6, 2023
- Certification date
- Apr 6, 2023
- Last updated
- Apr 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
1000 W State Highway 6 Ste 500Woodway, TX 76712-3790
Phone 254-327-1800 · Fax 254-343-1326
Mailing address
1000 W State Highway 6 Ste 500Woodway, TX 76712-3790
Phone 254-327-1800 · Fax 254-343-1326
Authorized official
William Nesmith
President
2543271800
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