NPI | 1194264416 |
---|---|
Doing Business As | CAROUSEL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | ANGELA KILCOLLINS Credentialing Administrator 512-583-9679 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2017-02-20 |
Last Update Date | 2017-02-20 |