Organization
HELOTES PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BARA (CREDENTIALING COORDINATOR)
(210) 372-0505
Entity
Organization
Contact information
Practice address
12274 BANDERA RD, SUITE 106, HELOTES, TX 78023-4385
(210) 372-0505
(210) 372-0404
Mailing address
12274 BANDERA RD, SUITE 106, HELOTES, TX 78023-4385
(210) 372-0505
(210) 372-0404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026KP
BCBS GRP #
TX
05
—
159585201
—
TX
05
—
159585202
—
TX
Enumeration date
03/06/2007
Last updated
12/19/2011
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