Kelly G Thorstad Md Pa
Pediatrics
Kelly G Thorstad Md Pa is a Austin, Texas based Pediatric center with medical specialization in
General Pediatrics. Kelly G Thorstad Md Pa is doing business as
Lone Star Pediatrics.
It is located at
12120 Ranch Road 620 N, Austin, Texas - 78750-1079. They can be contacted on phone at
512-833-7334 and fax number 512-833-7333.
NPI number (Unique professional ID) for Kelly G Thorstad Md Pa is
1063638443 which was assigned by NPPES on 17 Apr, 2007 and it was last updated on 18 Jul, 2007.
Kelly G Thorstad Md Pa license number is
L0651 for Pediatrics (208000000X) in Texas.
Kelly G Thorstad Md 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:
Kelly G Thorstad Md Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Kelly G Thorstad Md Pa |
|---|
| Other Name : | Lone Star Pediatrics |
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Business Address:
Kelly G Thorstad Md 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 : | 12120 Ranch Road 620 N
Austin, TX, 78750-1079
United States |
|---|
| Phone Number : | 512-833-7334 |
|---|
| Fax Number : | 512-833-7333 |
|---|
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 : | 1063638443 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 17 Apr, 2007 |
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| Last Updated On : | 18 Jul, 2007 |
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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 : | Kellyg Thorstad |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PHYSICIAN OWNER |
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| Phone Number : | 512-833-7334 |
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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 Kelly G Thorstad Md Pa are as mentioned. Primary taxonomy code for Kelly G Thorstad Md Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | L0651 | TX |
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 : | 12120 Ranch Road 620 N
Austin, TX, 78750-1079
United States |
|---|
| Phone Number : | 512-833-7334 |
|---|
| Fax Number : | 512-833-7333 |
|---|
Business Location:
Patients can refer following map for directions to
Kelly G Thorstad Md 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.