| Medina Valley Pediatrics, Pllc | |
|
1028 Country Ln Castroville TX 78009-5027 | |
| (210) 232-6464 | |
| Not Available |
| Full Name | Medina Valley Pediatrics, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1028 Country Ln, Castroville, Texas |
| Authorized Official Name and Position | Katie Sue Russell (PRESIDENT) |
| Authorized Official Contact | 8303552732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medina Valley Pediatrics, Pllc 1028 Country Lane Castroville TX 78009 Ph: (830) 355-2732 | Medina Valley Pediatrics, Pllc 1028 Country Ln Castroville TX 78009-5027 Ph: (210) 232-6464 |
| NPI Number | 1568901619 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 08/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568901619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP115944 (Texas) | Primary |
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