Organization
HEART OF TEXAS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN S CHAKMAKJIAN M.D. (OWNER)
(254) 399-8364
Entity
Organization
Contact information
Practice address
405 LONDONDERRY DR, STE 201, WACO, TX 76712-7924
(254) 399-8364
(254) 399-9116
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070LX
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/10/2006
Last updated
08/22/2020
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