NPI 1073265104 · live from the CMS NPI Registry
Ab Pediatric Health Clinic Too PLLC
Pediatrics, Adolescent Medicine in El Paso, TX. National Provider Identifier 1073265104, active.
NPI record
| NPI | 1073265104 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 12001 Tierra Este Rd, El Paso, TX 79938 |
| Practice phone | 915-295-0455 |
| Mailing address | 1500 Finsterwald Pl, El Paso, TX 79936 |
| Enumerated | January 20, 2022 |
| Last updated | January 25, 2022 |
| Authorized official | Andres Boadella, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | — |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.