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Organization

PEDIATRIC MEDICAL CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHU SYAL (OWNER & PHYSICIAN)
(281) 991-7000
Entity
Organization

Contact information

Practice address
11450 SPACE CENTER BLVD STE 100, HOUSTON, TX 77059-3642
(281) 991-7000
(281) 991-7003
Mailing address
11450 SPACE CENTER BLVD STE 100, HOUSTON, TX 77059-3642
(281) 991-7000
(281) 991-7003

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001QU
BC/BS OF TEXAS
TX
05
175920101
TX
Enumeration date
02/12/2008
Last updated
12/30/2025
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