| Dino Pediatrics Pllc | |
|
854 Sw Big Bend Trail Glen Rose TX 76043-7604 | |
| (254) 635-6236 | |
| Not Available |
| Full Name | Dino Pediatrics Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 854 Sw Big Bend Trail, Glen Rose, Texas |
| Authorized Official Name and Position | Christie Ramirez (OWNER) |
| Authorized Official Contact | 2546356236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dino Pediatrics Pllc 2450 County Road 2027 Glen Rose TX 76043-1360 Ph: (817) 675-5891 | Dino Pediatrics Pllc 854 Sw Big Bend Trail Glen Rose TX 76043-7604 Ph: (254) 635-6236 |
| NPI Number | 1942068077 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 02/06/2025 |
| Medicare PECOS PAC ID | 7012358252 |
|---|---|
| Medicare Enrollment ID | O20240517003561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942068077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Christie L Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548412018 PECOS PAC ID: 8729141007 Enrollment ID: I20090113000378 |
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