Livingston Pediatric Clinic Pa
Pediatric Adolescent Medicine
Livingston Pediatric Clinic Pa is a Cleveland, Texas based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
206 S College Ave, Cleveland, Texas - 77327-4504. They can be contacted on phone at
281-592-6000 and fax number 936-328-8815.
NPI number (Unique professional ID) for Livingston Pediatric Clinic Pa is
1609055904 which was assigned by NPPES on 02 Nov, 2007 and it was last updated on 20 Apr, 2008.
Livingston Pediatric Clinic Pa specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Livingston Pediatric Clinic Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Livingston Pediatric Clinic Pa |
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Business Address:
Livingston Pediatric Clinic Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 206 S College Ave
Cleveland, TX, 77327-4504
United States |
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| Phone Number : | 281-592-6000 |
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| Fax Number : | 936-328-8815 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609055904 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 02 Nov, 2007 |
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| Last Updated On : | 20 Apr, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Julie Lairmore |
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| Official Title or Position : | PRACTICE ADMINISTRATOR |
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| Phone Number : | 936-328-8812 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Livingston Pediatric Clinic Pa are as mentioned. Primary taxonomy code for Livingston Pediatric Clinic Pa is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Livingston Pediatric Clinic Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ========= | Other | TX | TAX ID |
| 0045LZ | Other | TX | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 400 Ogletree Dr
Livingston, TX, 77351-6783
United States |
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| Phone Number : | 936-328-8812 |
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| Fax Number : | 936-328-8815 |
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Business Location:
Patients can refer following map for directions to
Livingston Pediatric Clinic Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.