Organization
KIDS 'N TEEN CLINICS, P.A.
Active
Parent organization
KIDS 'N TEENS CLINICS, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS 'N TEENS CLINICS, P.A.
Authorized official
DR. FERNANDO A ISART MD (PRESIDENT)
(713) 681-7334
Entity
Organization
Contact information
Practice address
2925 W T C JESTER BLVD STE 1, HOUSTON, TX 77018-7050
(713) 681-7334
Mailing address
2925 WEST T C JESTER STE 1, HOUSTON, TX 77018
(713) 681-7334
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1083175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081128301
—
TX
Enumeration date
12/08/2008
Last updated
12/08/2008
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