Elgin Pediatrics, PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

K6612 Issued in TX

Legal business name

ELGIN PEDIATRICS, PA

Practice address

214 Highway 290 E
Elgin, TX 78621-3214

Phone

(512) 281-0994

Fax

(512) 285-4100

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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

Mr. Kenneth William Dowling

Title

Office Manager

Phone

(512) 281-0994

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1851576516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HIGHWAY 290 E",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786213214",
            "telephone_number": "512-281-0994",
            "fax_number": "512-285-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HIGHWAY 290 E",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786213214",
            "telephone_number": "512-281-0994",
            "fax_number": "512-285-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-281-0994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "K6612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elgin Golden Years Nursing and Rehabilitation Center, Inc (Elgin Golden Years Nursing and Rehabilitation Center)
• Elgin Healthy Smiles PLLC
• Elgin Isd
• Elgin Medical Center,PA
• Elgin Pediatric Dental PLLC (Lone Star Pediatric Dental)
• Elgin Vision PLLC
• John Charles Emmitt, RPH
• Eye See Eye Care & Vision
• Ryan Parker Fahmy, DDS
• Family Total Dental, PA

• Pediatric Adolescent Medicine Physician in Elgin, TX
• Providers in Elgin, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.