NPI | 1659598068 |
---|---|
Doing Business As | CAROUSEL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | GLENN WOOD Medical Director 512-744-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101Y00000X Counselor | |
152WP0200X Optometrist, Pediatrics | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2009-07-13 |