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Organization

DIAGNOSTIC PEDIATRICS ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAX RONALD MINTZ M.D. (PRESIDENT)
(713) 795-0302
Entity
Organization

Contact information

Practice address
8111 N STADIUM DR STE 200, HOUSTON, TX 77054-1826
(713) 795-0302
(713) 795-0300
Mailing address
8111 N STADIUM DR STE 200, HOUSTON, TX 77054-1826
(713) 795-0302
(713) 795-0300

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36046
TX
133V00000X
Registered Dietitian
DT80331
TX

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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