Deming Pediatrics PLLC
Organization Active NPI Pediatric Nurse Practitioner · Port Lavaca, TX
NPI 1285955872 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1285955872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 587712 (TX)
- Legal business name
- DEMING PEDIATRICS PLLC
- Practice address
- 1300 N Virginia St
Suite 111
Port Lavaca, TX 77979-2509 - Phone
- (361) 553-6844
- Fax
- (361) 553-7314
- NPI assigned
- Jun 17, 2010
- Organization subpart
- No
Authorized official
- Name
- Laura M Deming, PNP
- Title
- Owner
- Phone
- (361) 553-6844
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner |
363LP0200X | 587712 | TX | Yes |
Addresses
Primary practice location
1300 N Virginia St
Suite 111
Port Lavaca, TX 77979-2509
Mailing address
1300 N Virginia St
Suite 111
Port Lavaca, TX 77979-2509
Phone (361) 553-6844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1969230-03 | Medicaid | TX | |
| 1969230-02 | Medicaid | TX |
Other providers in Port Lavaca, TX
- Robert D Coleman
- Gary S Cook
- Gregory Wade Cowart
- William J Crowley III
- Michelle Cummins
- Raymond P Dickey
- Connor Dieringer
- Discovery Medical Network Port Lavaca LLC
- Angela Marie-Garcia Dobbins
- Kirsten Michelle Edwards
All providers in Port Lavaca, TX · Pediatric Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.