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Organization

CHILDRENS HEALTH CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA K THOMAS M.D. (PRESIDENT)
(830) 693-3988
Entity
Organization

Contact information

Practice address
1009 FALLS PKWY, MARBLE FALLS, TX 78654-4630
(830) 693-3988
(830) 693-5691
Mailing address
1009 FALLS PKWY, MARBLE FALLS, TX 78654-4630
(830) 693-3988
(830) 693-5691

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H2834
TX
261QP2300X
Primary Care Clinic/Center
363LP0200X
Pediatric Nurse Practitioner
AP125831
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2851479
TX
05
285147901
TX
05
285147902
TX
05
285147903
TX
05
285147904
TX
05
285147905
TX
Enumeration date
10/11/2011
Last updated
10/08/2015
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