Old Pueblo Pediatrics

LBN: Old Pueblo Pediatrics
Old Pueblo Pediatrics is an health care organization with primary practice located at 3043 W Ina Rd Ste 115 , Tucson AZ 85741-2107. The organization recently has only one registered license in Other Service Providers / Contractor, which is considered as the primary health care specialty. Old Pueblo Pediatrics can be contacted via phone (520) 797-7070, or through Bean, John Ray via phone (520) 797-7070.

Contact Information

Primary practice address
3043 W Ina Rd Ste 115 Tucson AZ 85741-2107
Phone: (520) 797-7070
Fax: (520) 797-7077
Website:
Map and Directions
Authorized official contact:
Name: Bean, John Ray Doctor of Medicine (MD)
Phone: (520) 797-7070

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1376723999
LBN Legal business name Old Pueblo Pediatrics
DBA Doing business as
Authorized official Bean, John Ray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2007
Last updated Nov 12th, 2007 - about 19 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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