Blossom Pediatrics And Lactation, PLLC
Pediatrics in Bellaire, TX. Organization (NPI-2).
NPI number1700544897
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1700544897
- Entity type
- Organization (NPI-2)
- Legal business name
- Blossom Pediatrics And Lactation, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2021
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
6300 West Loop S Ste 290Bellaire, TX 77401-2913
Phone 713-322-6679
Mailing address
6711 Stella Link Rd # 109Houston, TX 77005-4342
Authorized official
Shirley Chan-Ramirez
Owner
7133226679
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