Organization
ORANGE PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIPE ANTONIO SARDA MD (MEDICAL DIRECTOR)
(409) 886-4242
Entity
Organization
Contact information
Practice address
909 12TH ST, ORANGE, TX 77630-4906
(409) 886-4242
(409) 886-2559
Mailing address
PO BOX 3101, ORANGE, TX 77631-3101
(409) 886-4242
(409) 886-2559
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L1731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B4020
BLUE CROSS
TX
Enumeration date
03/20/2007
Last updated
08/22/2020
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