Organization
CAPITAL PEDIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY CAROLE CAMPBELL (CREDENTIALING SPECIALIST)
(512) 454-4545
Entity
Organization
Contact information
Practice address
1100 W 39 ST, AUSTIN, TX 78756-3902
(512) 454-4545
(512) 279-0445
Mailing address
1100 W 39 ST, AUSTIN, TX 78756-3902
(512) 454-4545
(512) 279-0445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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