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Organization
WYOMING SPRINGS PEDIATRIACS
Active
Organization
WYOMING SPRINGS PEDIATRIACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL A DE HARO MD (PHYSICIAN)
(512) 244-5959
Entity
Organization
Contact information
Practice address
7200 WYOMING SPGS, SUITE 200, ROUND ROCK, TX 78681-4303
(512) 244-5959
(512) 244-1156
Mailing address
7200 WYOMING SPGS, SUITE 200, ROUND ROCK, TX 78681-4303
(512) 244-5959
(512) 244-1156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083727259
NPI - DR. DE HARO
TX
01
—
1982717179
NPI - DR. MARSHALL
TX
Enumeration date
08/24/2006
Last updated
08/22/2020
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