Bayshore Area Pediatric Clinic, Pa

LBN: Bayshore Area Pediatric Clinic, Pa
Bayshore Area Pediatric Clinic, Pa is an health care organization with primary practice located at 3325 Plainview St Suite C-9, Pasadena TX 77504-1989. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Bayshore Area Pediatric Clinic, Pa can be contacted via phone (713) 830-2996, or through Kieffer, Otto H via phone (713) 830-2996.

Contact Information

Primary practice address
3325 Plainview St Suite C-9 Pasadena TX 77504-1989
Phone: (713) 830-2996
Fax: (713) 830-2998
Website:
Map and Directions
Authorized official contact:
Name: Kieffer, Otto H Doctor of Medicine (MD)
Phone: (713) 830-2996

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K1505 Texas

Profile Details

NPI number 1487072047
LBN Legal business name Bayshore Area Pediatric Clinic, Pa
DBA Doing business as
Authorized official Kieffer, Otto H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2014
Last updated Apr 1st, 2014 - about 10 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 1487072047 NPPES
Texas MEDICAID 092239503

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