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NORTHEAST PEDIATRICS ASSOCIATES OF HUMBLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA L SOLIS (FINANCIAL MANAGER)
(281) 548-7334
Entity
Organization

Contact information

Practice address
104 E MAIN ST, HUMBLE, TX 77338-4513
(281) 548-7334
(281) 548-7363
Mailing address
104 MAIN ST, HUMBLE, TX 77338
(281) 548-7334
(281) 548-7363

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002DM
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/25/2006
Last updated
08/22/2020
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