Fry Road Pediatrics P.A
Pediatrics in Katy, TX. Organization (NPI-2).
NPI number1790018331
StatusActive
Last updated in NPPESSep 15, 2009
Details
- NPI
- 1790018331
- Entity type
- Organization (NPI-2)
- Legal business name
- Fry Road Pediatrics P.A
- Organization subpart
- No
- Enumeration date
- Sep 15, 2009
- Last updated
- Sep 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
21372 Provincial BlvdKaty, TX 77450-7580
Phone 281-578-9766 · Fax 281-578-6540
Mailing address
21372 Provincial BlvdKaty, TX 77450-7580
Phone 281-578-9766 · Fax 281-578-6540
Authorized official
Ifthekar Unnissa
President
2815789766
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