Little Plum Blossom Pediatrics, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M9285 Issued in TX

Legal business name

LITTLE PLUM BLOSSOM PEDIATRICS, PLLC

Practice address

311 S FM 1187
300
Aledo, TX 76008-6449

Phone

(817) 441-2266

Fax

(877) 293-3512

NPI assigned

Jun 26, 2013

Organization subpart

No

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

Authorized official

Name

Gina Fowler, D.O.NPI 1568621340

Title

Managing Member

Phone

(817) 441-2266

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Fowler, DO

  • Pediatrics Physician
  • Aledo, TX
  • NPI 1568621340
  NPD (past) Authorized official

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1689014334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S FM 1187",
            "address_2": "300",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760086449",
            "telephone_number": "817-441-2266",
            "fax_number": "877-293-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S FM 1187",
            "address_2": "300",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760086449",
            "telephone_number": "817-441-2266",
            "fax_number": "877-293-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE PLUM BLOSSOM PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-441-2266",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M9285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie Michelle Kubes, D.C.
• Linda Roberts Kurland, SLP
• Rebecca L Lee, M.S. CCC-SLP
• Liberty Electrodiagnostics PLLC
• Carolyn Jean Litteral, LPC-S, LCDC
• Daniel Austin Little I, LPC
• Troy Don Little, LAT
• Livewell Home Health LLC
• Living Water Counseling Collective, PLLC
• Love Pediatric Physical Therapy

• Primary Care Clinic/Center in Aledo, TX
• Providers in Aledo, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.