Organization
HAYDEE TE NIEVERA, M.D., PA
Active
Other names
Pediatric Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYDEE TE NIEVERA MD (PRESIDENT)
(956) 544-4700
Entity
Organization
Contact information
Practice address
1201 CALLE MILAGROS STE A, BROWNSVILLE, TX 78526-1361
(956) 544-4700
(945) 544-4774
Mailing address
1201 CALLE MILAGROS STE A, BROWNSVILLE, TX 78526-1361
(956) 544-4700
(945) 544-4774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161820901
—
TX
Enumeration date
04/09/2007
Last updated
01/25/2011
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