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Organization
UNIVERSITY PEDIATRIC CHILDRENS FOUNDATION
Active
Organization
UNIVERSITY PEDIATRIC CHILDRENS FOUNDATION
Active
Other names
UPA Too
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BALDOBINO CPC (CREDENTIALING COORDINATOR)
(979) 696-4440
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE RD, SUITE 310, COLLEGE STATION, TX 77845-8306
(979) 764-8308
Mailing address
1602 ROCK PRAIRIE RD, SUITE 310, COLLEGE STATION, TX 77845-8306
(979) 764-8308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206345501
—
TX
Enumeration date
08/27/2009
Last updated
06/20/2012
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