| NPI | 1952355125 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMARA WHITE Director Of Business Services 225-765-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-05-11 |