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Organization
RIVER RIDGE PEDIATRICS, P.A.
Active
Organization
RIVER RIDGE PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADANA MILLIKEN GIPSON M.D. (PRESIDENT/MEDICAL DIRECTOR)
(512) 930-1309
Entity
Organization
Contact information
Practice address
1526 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 930-1309
(512) 863-5222
Mailing address
1526 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 930-1309
(512) 863-5222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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