Provider Demographics
NPI:1114763877
Name:PEDIATRICS HOUSTON PA
Entity type:Organization
Organization Name:PEDIATRICS HOUSTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETZI
Authorized Official - Middle Name:NARETH
Authorized Official - Last Name:TERAN SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-988-4334
Mailing Address - Street 1:6700 WEST LOOP S STE 300
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4120
Mailing Address - Country:US
Mailing Address - Phone:713-988-4334
Mailing Address - Fax:713-988-6165
Practice Address - Street 1:6700 WEST LOOP S STE 300
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4120
Practice Address - Country:US
Practice Address - Phone:713-988-4334
Practice Address - Fax:713-988-6165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty