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Organization
PROFESSIONAL ASSN FOR PEDIATRICS
Active
Organization
PROFESSIONAL ASSN FOR PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR GREGORY TUEGEL M.D. (PRESIDENT)
(325) 677-2801
Entity
Organization
Contact information
Practice address
1850 HICKORY ST, SUITE #102, ABILENE, TX 79601-2334
(325) 677-2801
Mailing address
1850 HICKORY ST, SUITE #102, ABILENE, TX 79601-2334
(325) 677-2801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R10Z
BCBS
TX
01
—
111638603
MEDICAID THSTEPS
TX
05
—
111638604
—
TX
Enumeration date
08/08/2006
Last updated
07/25/2013
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