Dell Children's-circle Of Care Pediatrics At Whitestone | |
1730 E Whitestone Blvd Ste 101 Cedar Park TX 78613-6933 | |
(877) 800-5722 | |
(512) 258-1994 |
Full Name | Dell Children's-circle Of Care Pediatrics At Whitestone |
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Speciality | Clinic/Center |
Location | 1730 E Whitestone Blvd, Cedar Park, Texas |
Authorized Official Name and Position | Jonathan David Calvin (CEO) |
Authorized Official Contact | 5129941933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dell Children's-circle Of Care Pediatrics At Whitestone 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124 | Dell Children's-circle Of Care Pediatrics At Whitestone 1730 E Whitestone Blvd Ste 101 Cedar Park TX 78613-6933 Ph: (877) 800-5722 |
NPI Number | 1689983066 |
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Provider Enumeration Date | 10/01/2010 |
Last Update Date | 09/18/2023 |
Medicare PECOS PAC ID | 5193709392 |
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Medicare Enrollment ID | O20110301001048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689983066 | NPI | - | NPPES |
2151896-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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