Organization
CAREVILLE PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEANYI MBADUGHA MD (MEDICAL DIRECTOR)
(361) 492-5252
Entity
Organization
Contact information
Practice address
1003 N SAINT MARYS ST, BEEVILLE, TX 78102-3420
(361) 492-5252
Mailing address
1003 N SAINT MARYS ST, BEEVILLE, TX 78102-3420
(361) 492-5252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P2492
TX
Other
Enumeration date
04/17/2015
Last updated
04/08/2016
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