# ONSITE NEONATAL TEXAS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ONSITE NEONATAL PA
- **Other names:** Texas
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558866814
- **Legal business name:** ONSITE NEONATAL PA
- **Authorized official:** MRS. KELLY JACK (AR TECHNICAL MANAGER)
- **Authorized official phone:** (856) 782-2212

## Contact information

- **Practice address:** 1000 HADDONFIELD BERLIN RD STE 210, VOORHEES, NJ 08043-3520
- **Practice address phone:** (856) 782-2212
- **Practice address fax:** (856) 782-2218
- **Mailing address:** 1000 HADDONFIELD BERLIN RD STE 210, VOORHEES, NJ 08043-3520
- **Mailing address phone:** (856) 782-2212
- **Mailing address fax:** (856) 782-2218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2018
- **Last updated:** 03/28/2018