Shepherds Pediatric Care

LBN: Shepherds Pediatric Care
Shepherds Pediatric Care is an health care organization with primary practice located at 106 Circle Way St Suite A, Lake Jackson TX 77566-5202. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Shepherds Pediatric Care can be contacted via phone (979) 297-3949, or through Shepherd, Loni Lynn via phone (979) 297-3949.

Contact Information

Primary practice address
106 Circle Way St Suite A Lake Jackson TX 77566-5202
Phone: (979) 297-3949
Fax: (979) 297-3919
Website:
Map and Directions
Authorized official contact:
Name: Shepherd, Loni Lynn Doctor of Medicine (MD)
Phone: (979) 297-3949

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X N6017 Texas

Profile Details

NPI number 1790108454
LBN Legal business name Shepherds Pediatric Care
DBA Doing business as
Authorized official Shepherd, Loni Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2014
Last updated Mar 10th, 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 1790108454 NPPES
Texas MEDICAID 214871001

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