Livingston Pediatric Clinic PA

Organization Pediatric Adolescent Medicine Physician · NPI 1609055904

Livingston Pediatric Clinic PA provides Pediatric Adolescent Medicine Physician services in Cleveland, Texas. Registered with an NPI since 2007.

In the registry since: 2007

What do these letters mean?

PA — Professional association: A form of business registration, not a clinical qualification.

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Practice location Address checks out

206 S College Ave
Cleveland, TX 77327-4504 Not confirmed with CMS for 18 years — call before visiting
Phone: (281) 592-6000
Fax: (936) 328-8815

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary)	Taxonomy 2080A0000X

Record details

NPI number	1609055904
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Julie Lairmore — Practice Administrator · (936) 328-8812
NPI enumerated	November 2, 2007
Last updated in NPPES	April 20, 2008
Mailing address	400 Ogletree Dr, Livingston, TX 77351-6783