# PROFESSIONAL PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pediatric Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376717959
- **Authorized official:** ROBERT CROWE (PHYSICIAN)
- **Authorized official phone:** (337) 238-0777

## Contact information

- **Practice address:** 919 S 10TH ST, LEESVILLE, LA 71446-4613
- **Practice address phone:** (337) 239-2207
- **Mailing address:** PO BOX 130, NEWLLANO, LA 71461-0130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 07/21/2020