Organization · NPI-2

Dell Children'S Medical Group

Pediatrics · Round Rock, TX

NPI number1790103869
StatusActive
Last updated in NPPESJun 27, 2023

Details

NPI
1790103869
Entity type
Organization (NPI-2)
Legal business name
Dell Children'S Medical Group
Organization subpart
No
Enumeration date
Apr 4, 2014
Certification date
Jun 27, 2023
Last updated
Jun 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes
207NP0225X Dermatology, Pediatric Dermatology––
2080H0002X Pediatrics, Hospice and Palliative Medicine––
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics––
2080P0201X Pediatrics, Pediatric Allergy/Immunology––
2080P0205X Pediatrics, Pediatric Endocrinology––
2080P0206X Pediatrics, Pediatric Gastroenterology––
2080P0207X Pediatrics, Pediatric Hematology-Oncology––
2080P0208X Pediatrics, Pediatric Infectious Diseases––
2080P0210X Pediatrics, Pediatric Nephrology––
2080P0216X Pediatrics, Pediatric Rheumatology––
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology––
237600000X Audiologist-Hearing Aid Fitter––
363LP0200X Nurse Practitioner, Pediatrics––

Other names

  • 'Specially For Children Children'S Hospital Subspecialists Of Central (Former Legal Business Name)

Practice location

1000 Hesters Crossing Rd
Round Rock, TX 78681-8020

Phone 512-628-1800 · Fax 512-628-1801

Mailing address

1301 Barbara Jordan Blvd
Suite 200
Austin, TX 78723-3077

Phone 512-628-1800 · Fax 512-628-1801

Authorized official

Clayton Carsner
Vp/Coo
5123245846

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