| Shepherds Pediatric Care | |
|
106 Circle Way St Suite A Lake Jackson TX 77566-5202 | |
| (979) 297-3949 | |
| (979) 297-3919 |
| Full Name | Shepherds Pediatric Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 106 Circle Way St, Lake Jackson, Texas |
| Authorized Official Name and Position | Loni Lynn Shepherd (OWNER) |
| Authorized Official Contact | 9792973949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherds Pediatric Care 106 Circle Way St Suite A Lake Jackson TX 77566-5202 Ph: (979) 297-3949 | Shepherds Pediatric Care 106 Circle Way St Suite A Lake Jackson TX 77566-5202 Ph: (979) 297-3949 |
| NPI Number | 1790108454 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 03/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790108454 | NPI | - | NPPES |
| 214871001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N6017 (Texas) | Primary |
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