Livingston Pediatric Clinic Pa
Pediatrics
Livingston Pediatric Clinic Pa is a Livingston, Texas based Pediatric center with medical specialization in
General Pediatrics.
It is located at
400 Ogletree Dr, Livingston, Texas - 77351-6783. They can be contacted on phone at
936-328-8812 and fax number 936-328-8815.
NPI number (Unique professional ID) for Livingston Pediatric Clinic Pa is
1891848297 which was assigned by NPPES on 19 Jan, 2007 and it was last updated on 22 May, 2023.
Livingston Pediatric Clinic Pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Livingston Pediatric Clinic Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Livingston Pediatric Clinic Pa |
|---|
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 : | 400 Ogletree Dr
Livingston, TX, 77351-6783
United States |
|---|
| Phone Number : | 936-328-8812 |
|---|
| Fax Number : | 936-328-8815 |
|---|
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 : | 1891848297 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Jan, 2007 |
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| Last Updated On : | 22 May, 2023 |
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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 : | Marlo Brawner |
|---|
| Authorized Official Credential : | MD |
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| Official Title or Position : | MEDICAL DIRECTOR |
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| Phone Number : | 9363288812 |
|---|
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
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | No | J6500 | TX |
| 208000000X | Pediatrics | 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 |
|---|
| 0045LZ | Other (non-Medicare) | TX | BCBS GROUP NUMBER |
| 169920901 | MEDICAID | TX | |
| 169920902 | MEDICAID | TX | |
| ========= | Other (non-Medicare) | TX | TAX ID NUMBER |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
203 N COLLEGE AVE STE 1001,
CLEVELAND, TX, 77327-2500
United States | CLEVELAND, TX | 281-592-6000 |
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 |
|---|
| Phone Number : | 936-328-8812 |
|---|
| Fax Number : | 936-328-8815 |
|---|
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. Last updated on 08 January, 2024.