Spring Creek Pediatric Center
Pediatrics in Victoria, TX. Organization (NPI-2).
NPI number1184809352
StatusActive
Last updated in NPPESJan 7, 2008
Details
- NPI
- 1184809352
- Entity type
- Organization (NPI-2)
- Legal business name
- Spring Creek Pediatric Center
- Organization subpart
- No
- Enumeration date
- Jan 7, 2008
- Last updated
- Jan 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | H1447 | TX | Yes |
Practice location
110 Medical DrSuite 104
Victoria, TX 77904-3101
Phone 361-572-9400 · Fax 361-572-4415
Mailing address
110 Medical DrSuite 104
Victoria, TX 77904-3101
Phone 361-572-9400 · Fax 361-572-4415
Authorized official
Ilene Garcia
Billing Manager
3615729400
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