MODERN PEDIATRICS PROFESSIONALS, PLLC

AUSTIN, TX
NPI1154952505
Entity TypeOrganization
Authorized ContactTIMOTHY JAMES PORTER
Chief Medical Officer
319-541-7604
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2020-02-03
Last Update Date2020-02-03
Business Address
MODERN PEDIATRICS PROFESSIONALS, PLLC
2309 SANTA MARIA ST
AUSTIN, TX 78702-4617
Phone number: 319-541-7604
Mailing Address
MODERN PEDIATRICS PROFESSIONALS, PLLC
2309 SANTA MARIA ST
AUSTIN, TX 78702-4617
Phone number: 319-541-7604
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