Organization · NPI-2

Ab Pediatric Health Clinic PLLC

Pediatrics, Adolescent Medicine · El Paso, TX

NPI number1447789250
StatusActive
Last updated in NPPESDec 23, 2019

Details

NPI
1447789250
Entity type
Organization (NPI-2)
Legal business name
Ab Pediatric Health Clinic PLLC
Organization subpart
No
Enumeration date
Jun 6, 2017
Certification date
Dec 23, 2019
Last updated
Dec 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine––Yes

Practice location

1400 N El Paso St Ste E
El Paso, TX 79902-3438

Phone 915-577-0455

Mailing address

1400 N El Paso St Ste E
El Paso, TX 79902-3438

Phone 915-577-0455

Authorized official

Andres Boadella
Owner
9155770455

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