Organization
MISSION PEDIATRICS
Active
Other names
Mission Pediatrics, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE MARIE LOPEZ-GLYNN M.D. (DOCTOR SHAREHOLDER)
(830) 303-3400
Entity
Organization
Contact information
Practice address
1005 E COURT ST, STE 300, SEGUIN, TX 78155-5843
(830) 303-3400
Mailing address
PO BOX 735, SEGUIN, TX 78156-0735
(830) 303-3400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L7015
TX
Other
Enumeration date
10/15/2007
Last updated
01/08/2008
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