Hutto Healthy Futures Pediatric Clinic, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04590 Issued in TX

Legal business name

HUTTO HEALTHY FUTURES PEDIATRIC CLINIC, LLC

Practice address

210 Hwy 79
Ste. 104
Hutto, TX 78634-4533

Phone

(512) 368-0200

Fax

(512) 642-3805

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By 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

Irene Gonzalez

Title

Ceo

Phone

(512) 368-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1396018180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HWY 79",
            "address_2": "STE. 104",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344533",
            "telephone_number": "512-368-0200",
            "fax_number": "512-642-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HWY 79",
            "address_2": "STE. 104",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344533",
            "telephone_number": "512-368-0200",
            "fax_number": "512-642-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTTO HEALTHY FUTURES PEDIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-368-0200"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Hotchin
• Amy Michelle Hunt, D.O.
• Dustin Shay Hutmacher, PHARM.D.
• Hutto Eye Care PLLC (Hutto Family Eye Care)
• Hutto Family Chiropractic
• Hutto Modern Dentistry,PC (Hutto Modern Dentistry)
• Hutto Premier Dentistry PA (Hutto Premier Dentistry)
• Hutto Senior Day Center
• Hutto Therapy Center
• Paul Iarussi

• Medical Physician Assistant in Hutto, TX
• Providers in Hutto, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.