NPI | 1538489356 |
---|---|
Doing Business As | KIDS HAVEN PEDIATRICS PA |
Entity Type | Organization |
Authorized Contact | JOYCE EGO EZIASHI EGBE Medical Director 832-578-1060 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX M7962) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-04 |