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Organization

NASA PEDIATRICS TEXAS CITY PLLC

Active
Parent organization
NASA PEDIATRICS, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NASA PEDIATRICS, PLLC
Authorized official
IDALIA RIVERA-MATOS MD (MEDICAL DIRECTOR)
(713) 239-0980
Entity
Organization

Contact information

Practice address
926 14TH ST N STE A, TEXAS CITY, TX 77590-8902
(409) 229-7487
(831) 831-8623
Mailing address
PO BOX 890004, HOUSTON, TX 77289-0004
(713) 239-0980
(832) 831-8623

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
04/12/2019
Last updated
05/29/2024
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