| NPI | 1174131502 |
|---|---|
| Doing Business As | BAXTER HEALTH MED-PEDS CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2023-07-19 |