# PEDIATRIC ANGELS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134651953
- **Authorized official:** MISS DORIS FOMBIN RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (978) 876-5343

## Contact information

- **Practice address:** 9898 BISSONNET ST, SUITE 589, HOUSTON, TX 77036-8270
- **Practice address phone:** (978) 876-5343
- **Mailing address:** 9898 BISSONNET ST, SUITE 589, HOUSTON, TX 77036-8270
- **Mailing address phone:** (978) 876-5343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2017
- **Last updated:** 03/30/2017