Organization
PEDIATRIC COTTAGE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE ZUCCONI (OFFICE MANAGER)
(713) 697-3030
Entity
Organization
Contact information
Practice address
7007 NORTH FWY, SUITE 305, HOUSTON, TX 77076-1324
(713) 697-3030
(713) 697-5678
Mailing address
7007 NORTH FWY, SUITE 305, HOUSTON, TX 77076-1324
(713) 697-3030
(713) 697-5678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H5376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014907
AMERIGROUP
TX
01
—
88160S
BCBS
TX
Enumeration date
02/11/2009
Last updated
02/11/2009
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