Capital Pediatric Group

LBN: Capital Pediatric Group Associates
Capital Pediatric Group is an health care organization with primary practice located at 1100 W 39Th 1/2 St , Austin TX 78756-3902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Capital Pediatric Group Associates can be contacted via phone (512) 454-4545, or through Campbell, Dorothy Carole via phone (512) 454-4545.

Contact Information

Primary practice address
1100 W 39Th 1/2 St Austin TX 78756-3902
Phone: (512) 454-4545
Fax: (512) 279-0445
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Dorothy Carole
Phone: (512) 454-4545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E0921 Texas

Profile Details

NPI number 1235282112
LBN Legal business name Capital Pediatric Group Associates
DBA Doing business as Capital Pediatric Group
Authorized official Campbell, Dorothy Carole
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 30th, 2014 - about 12 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 1235282112 NPPES
Texas MEDICAID 111533901

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