Organization
HUTTO HEALTHY FUTURES PEDIATRIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE GONZALEZ (CEO)
(512) 368-0200
Entity
Organization
Contact information
Practice address
210 HWY 79, STE. 104, HUTTO, TX 78634-4533
(512) 368-0200
(512) 642-3805
Mailing address
210 HWY 79, STE. 104, HUTTO, TX 78634-4533
(512) 368-0200
(512) 642-3805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04590
TX
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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