Javelina Pediatrics Pllc

LBN: Javelina Pediatrics Pllc
Javelina Pediatrics Pllc is an health care organization with primary practice located at 1521 E Tangerine Rd Suite 205, Oro Valley AZ 85755-6225. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Javelina Pediatrics Pllc can be contacted via phone (520) 531-0060, or through Traquair, Philip S via phone (520) 531-0060.

Contact Information

Primary practice address
1521 E Tangerine Rd Suite 205 Oro Valley AZ 85755-6225
Phone: (520) 531-0060
Fax: (520) 225-0156
Website:
Map and Directions
Authorized official contact:
Name: Traquair, Philip S Doctor of Medicine (MD)
Phone: (520) 531-0060

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 33911 Arizona

Profile Details

NPI number 1265464424
LBN Legal business name Javelina Pediatrics Pllc
DBA Doing business as
Authorized official Traquair, Philip S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 21st, 2009 - about 16 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 1265464424 NPPES
Arizona MEDICAID 945925

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