Organization
IMAGINE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH TAYLOR BEERY (CHIEF ADMIN. OFFICER (CAO))
(504) 470-4140
Entity
Organization
Contact information
Practice address
3200 SOUTHWEST FWY STE 2100, HOUSTON, TX 77027-7525
(833) 208-7770
Mailing address
220 ATHENS WAY STE 240, NASHVILLE, TN 37228-1311
(504) 470-4140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
1835P0200X
Pediatric Pharmacist
—
—
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0222X
Critical Care Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/23/2022
Last updated
10/10/2023
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