Organization
LONGHORN PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO CANTU BARRERA D.O. (PRESIDENT)
(512) 236-9306
Entity
Organization
Contact information
Practice address
2911 MEDICAL ARTS ST, SUITE 20, AUSTIN, TX 78705-3376
(512) 236-9306
(512) 236-9978
Mailing address
2911 MEDICAL ARTS ST, SUITE 20, AUSTIN, TX 78705-3376
(512) 236-9306
(512) 236-9978
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F3737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185336801
—
TX
Enumeration date
09/19/2007
Last updated
01/17/2012
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