Provider Demographics
NPI:1699950709
Name:TOTS AND TEENS PEDIATRICS, PA
Entity type:Organization
Organization Name:TOTS AND TEENS PEDIATRICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-426-0609
Mailing Address - Street 1:1801 NORTH LOOP W
Mailing Address - Street 2:SUITE 40
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1444
Mailing Address - Country:US
Mailing Address - Phone:713-426-0609
Mailing Address - Fax:713-426-0631
Practice Address - Street 1:1801 NORTH LOOP W
Practice Address - Street 2:SUITE 40
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1444
Practice Address - Country:US
Practice Address - Phone:713-426-0609
Practice Address - Fax:713-426-0631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care