| Prime Pediatrics | |
|
2005 E Griffin Pkwy 193 Mission TX 78572-3222 | |
| (956) 271-8050 | |
| Not Available |
| Full Name | Prime Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 2005 E Griffin Pkwy, Mission, Texas |
| Authorized Official Name and Position | Mohan Babu Rayala (PEDIATRICIAN) |
| Authorized Official Contact | 9562718050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Pediatrics 2005 E Griffin Pkwy 193 Mission TX 78572-3222 Ph: () - | Prime Pediatrics 2005 E Griffin Pkwy 193 Mission TX 78572-3222 Ph: (956) 271-8050 |
| NPI Number | 1861858367 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861858367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | Q6091 (Texas) | Secondary |
| 208000000X | Pediatrics | Q6091 (Texas) | Primary |
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