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Organization

CHERUB KIDZ PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH BORGMAN FNP (PROVIDER/ OWNER)
(346) 808-5904
Entity
Organization

Contact information

Practice address
9318 LOUETTA RD, SUITE 400, SPRING, TX 77379-6520
(346) 808-5904
(346) 808-5913
Mailing address
9318 LOUETTA RD, SUITE 400, SPRING, TX 77379-6520
(346) 808-5904
(346) 808-5913

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP120780
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
345738403
TX
05
345738404
TX
05
345738405
TX
Enumeration date
02/03/2017
Last updated
02/03/2017
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Product
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  • EDI platform