| NPI | 1255977583 |
|---|---|
| Doing Business As | REHOBOTH PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | STELLA GRACE IMMANUEL Medical Director 281-506-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |