Organization
WHITESTONE PEDIATRICS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANI LYN SCOTT CPNP (OWNER)
(512) 922-8800
Entity
Organization
Contact information
Practice address
1464 E WHITESTONE BLVD, #201, CEDAR PARK, TX 78613-9058
(512) 922-8800
Mailing address
1464 E WHITESTONE BLVD, #201, CEDAR PARK, TX 78613-9058
(512) 922-8800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
710481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218614002
—
TX
Enumeration date
06/01/2011
Last updated
06/01/2011
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