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
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