Dr. Phil Pediatrics, P. A.

LBN: Dr. Phil Pediatrics, P. A.
Dr. Phil Pediatrics, P. A. is an health care organization with primary practice located at 4111 Barbara Loop Se Ste A , Rio Rancho NM 87124-1068. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Dr. Phil Pediatrics, P. A. can be contacted via phone (505) 994-3256, or through Perkins, Kalie via phone (505) 994-3256.

Contact Information

Primary practice address
4111 Barbara Loop Se Ste A Rio Rancho NM 87124-1068
Phone: (505) 994-3256
Fax: (866) 967-7905
Website:
Map and Directions
Authorized official contact:
Name: Perkins, Kalie
Phone: (505) 994-3256

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 86-266 New Mexico

Profile Details

NPI number 1972754356
LBN Legal business name Dr. Phil Pediatrics, P. A.
DBA Doing business as
Authorized official Perkins, Kalie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2008
Last updated May 6th, 2019 - about 6 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 1972754356 NPPES
Other 1437159993 INDIVIDUAL NPI
MEDICAID 30197 INDIVIDUAL NPI

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