Organization
PEDIATRIC SPECIALISTS NETWORK, PA
Active
Other names
Pediatric Specialists Network
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIER VILLA MD (PRESIDENT)
(832) 334-4004
Entity
Organization
Contact information
Practice address
21212 NORTHWEST FWY, SUITE 235, CYPRESS, TX 77429-5884
(832) 334-4004
(832) 334-4005
Mailing address
21212 NORTHWEST FWY, SUITE 235, CYPRESS, TX 77429-5884
(832) 334-4004
(832) 334-4005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K8856
TX
2080P0203X
Pediatric Critical Care Medicine Physician
K8856
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
K8856
TX
Other
Enumeration date
01/27/2009
Last updated
12/28/2009
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