Organization
HEAD PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HEAD MD (SOLE MEMBER)
(936) 305-5050
Entity
Organization
Contact information
Practice address
2714 N UNIVERSITY DR, STE 100, NACOGDOCHES, TX 75965-2973
(936) 305-5050
(936) 305-5050
Mailing address
2714 N UNIVERSITY DR, STE 100, NACOGDOCHES, TX 75965-2973
(936) 305-5050
(936) 305-5050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q3007
TX
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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