Organization
NORTHWEST PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET M NOLL MD (OFFICER SECRETARY TREASURER)
(210) 680-6000
Entity
Organization
Contact information
Practice address
7007 BANDERA RD, SUITE 19, SAN ANTONIO, TX 78238-1138
(210) 680-6000
(210) 256-9813
Mailing address
7007 BANDERA RD, SUITE 19, SAN ANTONIO, TX 78238-1265
(210) 680-6000
(210) 680-9153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00SN08
BLUE CROSS
TX
01
—
1952446593
NPI
TX
Enumeration date
02/21/2007
Last updated
11/02/2007
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