Allied Pediatricians of Texas, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ALLIED PEDIATRICIANS OF TEXAS, PLLC

Practice address

1602 Rock Prairie Rd Ste 1100
College Station, TX 77845-8307

Phone

(979) 696-4440

NPI assigned

Mar 9, 2015

Last updated

Dec 3, 2015By 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

Cynthia Edwards

Title

Office Manager

Phone

(979) 696-4440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1144613696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 1100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458307",
            "telephone_number": "979-696-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 1100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458307",
            "telephone_number": "979-696-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PEDIATRICIANS OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-696-4440"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in College Station, TX
• Providers in College Station, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.