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1154952505
MODERN PEDIATRICS PROFESSIONALS, PLLC
AUSTIN, TX
NPI
1154952505
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Entity Type
Organization
Authorized Contact
TIMOTHY JAMES PORTER
Chief Medical Officer
319-541-7604
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2020-02-03
Last Update Date
2020-02-03
Business Address
MODERN PEDIATRICS PROFESSIONALS, PLLC
2309 SANTA MARIA ST
AUSTIN, TX 78702-4617
Phone number: 319-541-7604
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Mailing Address
MODERN PEDIATRICS PROFESSIONALS, PLLC
2309 SANTA MARIA ST
AUSTIN, TX 78702-4617
Phone number: 319-541-7604
Copy
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