Modern Pediatrics Professionals, PLLC
Modern Pediatrics Professionals, PLLC is a Pediatrics Physician in Austin, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2309 Santa Maria StAustin, TX 78702-4617
Phone: (319) 541-7604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1154952505 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Porter — Chief Medical Officer · (319) 541-7604 |
| NPI enumerated | February 3, 2020 |
| Last updated in NPPES | February 3, 2020 |
| Certification date | February 3, 2020 |
| Mailing address | 2309 Santa Maria St, Austin, TX 78702-4617 |
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