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Organization
WIMBERLEY PEDIATRICS & ADOLESCENT MEDICINE, P.A.
Active
Organization
WIMBERLEY PEDIATRICS & ADOLESCENT MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LEIGH HOPE (PRACTICE ADMINISTRATOR)
(512) 847-7700
Entity
Organization
Contact information
Practice address
180 JOE WIMBERLEY BLVD, SUITE 102, WIMBERLEY, TX 78676-5997
(512) 847-7700
(512) 847-7701
Mailing address
180 JOE WIMBERLEY BLVD, SUITE 102, WIMBERLEY, TX 78676-5997
(512) 847-7700
(512) 847-7701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L1706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932104353
NPI
TX
01
—
L1706
STATE LICENSE
TX
Enumeration date
08/30/2006
Last updated
08/22/2020
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