Pediatric Associates of Georgetown, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF GEORGETOWN, PA

Practice address

103 Thousand Oaks Blvd
Georgetown, TX 78628-8757

Phone

(512) 930-7337

Fax

(512) 868-9817

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Crystal McBride

Title

Office Manager

Phone

(512) 930-7337

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1114105574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 THOUSAND OAKS BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288757",
            "telephone_number": "512-930-7337",
            "fax_number": "512-868-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 THOUSAND OAKS BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288757",
            "telephone_number": "512-930-7337",
            "fax_number": "512-868-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF GEORGETOWN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-930-7337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Patton, FNP-C
• Lorena Paulino Brito
• Richard Wiley Pearce, MD
• Pearl Family Practice PA
• Devin Peck, M.D.
• Kelly Pedrozo, CD
• Peds Center of Round Rock PA (River Ridge Pediatrics)
• Samuel B Pegram, MD
• Jacobo Pena, M.D.
• Jessica Michelle Pena, PTA

• Pediatrics Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.