Angelina Pediatrics Pllc

LBN: Angelina Pediatrics Pllc
Angelina Pediatrics Pllc is an health care organization with primary practice located at 1222 Ellis Ave , Lufkin TX 75904-3326. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Angelina Pediatrics Pllc can be contacted via phone (936) 634-9233, or through Fidone, George S via phone (936) 634-9233.

Contact Information

Primary practice address
1222 Ellis Ave Lufkin TX 75904-3326
Fax: (936) 634-9353
Website:
Authorized official contact:
Name: Fidone, George S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1154425494
LBN Legal business name Angelina Pediatrics Pllc
DBA Doing business as
Authorized official Fidone, George S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 14th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154425494 NPPES
Texas MEDICAID 092130602

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