Organization
DOMINIC ANSARI PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC OMAR ANSARI M.D. (MANAGING MEMBER)
(832) 930-1366
Entity
Organization
Contact information
Practice address
2028 E BEN WHITE BLVD, STE 240A, AUSTIN, TX 78741-6966
(832) 930-1366
Mailing address
2028 E BEN WHITE BLVD, STE 240-8801, AUSTIN, TX 78741-6966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD452657
PA
Other
Enumeration date
07/28/2015
Last updated
08/13/2015
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