Organization
BORGER PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALA G SAMPAT M.D. (OWNER)
(806) 274-7111
Entity
Organization
Contact information
Practice address
503 W 1ST ST, STE B, BORGER, TX 79007-4001
(806) 274-7111
(806) 274-7113
Mailing address
503 W 1ST ST, STE B, BORGER, TX 79007-4001
(806) 274-7111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F0661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112108901
—
TX
Enumeration date
12/22/2008
Last updated
12/22/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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