Organization
ELGIN PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WILLIAM DOWLING (OFFICE MANAGER)
(512) 281-0994
Entity
Organization
Contact information
Practice address
214 HIGHWAY 290 E, ELGIN, TX 78621-3214
(512) 281-0994
(512) 285-4100
Mailing address
214 HIGHWAY 290 E, ELGIN, TX 78621-3214
(512) 281-0994
(512) 285-4100
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
K6612
TX
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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