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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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