Organization
PEDIATRICS OF SOUTH AUSTIN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER W HINE M.D. (PARTNER)
(512) 443-3883
Entity
Organization
Contact information
Practice address
4007 JAMES CASEY ST, SUITE D140, AUSTIN, TX 78745-3369
(512) 443-3883
(512) 445-6447
Mailing address
4007 JAMES CASEY ST, SUITE D140, AUSTIN, TX 78745-3369
(512) 443-3883
(512) 445-6447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018530801
—
TX
05
—
084737801
—
TX
Enumeration date
02/01/2006
Last updated
04/24/2012
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