Provider Demographics
NPI:1275719437
Name:TEXAS FAMILY PEDIATRIC GROUP, P.A.
Entity type:Organization
Organization Name:TEXAS FAMILY PEDIATRIC GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-208-9503
Mailing Address - Street 1:20303 S UNIVERSITY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3662
Mailing Address - Country:US
Mailing Address - Phone:281-208-9503
Mailing Address - Fax:281-208-9504
Practice Address - Street 1:20303 S UNIVERSITY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3662
Practice Address - Country:US
Practice Address - Phone:281-208-9503
Practice Address - Fax:281-208-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty