Organization
PEDIATRIC CRITICAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANGLIN M.D. (PRESIDENT)
(512) 324-0000
Entity
Organization
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
(512) 324-0721
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
(512) 324-0721
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173703301
—
TX
Enumeration date
08/13/2006
Last updated
08/22/2011
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