Glowworm Pediatrics PLLC
Pediatrics in Hutto, TX. Organization (NPI-2).
NPI number1285299461
StatusActive
Last updated in NPPESMay 3, 2019
Details
- NPI
- 1285299461
- Entity type
- Organization (NPI-2)
- Legal business name
- Glowworm Pediatrics PLLC
- Organization subpart
- No
- Enumeration date
- May 3, 2019
- Last updated
- May 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
2100 Muirfield Bend Dr Ste 115Hutto, TX 78634-3587
Phone 512-861-9327 · Fax 512-861-9328
Mailing address
2100 Muirfield Bend Dr Ste 115Hutto, TX 78634-3587
Phone 512-861-9327 · Fax 512-861-9328
Authorized official
Vu A Nguyen
MD
5128619327
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