NPI | 1780710319 |
---|---|
Doing Business As | LIGHTHOUSE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | LINDA S. DONOVAN Pediatric Nurse Practitioner 512-528-9996 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 629991) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2010-04-05 |