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NPI Code Detail

MEDICARE: PETER A. KANGOS, MD, PA

MEDICARE: PETER A. KANGOS, MD, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG4020TX

General Provider Information

NPI Number : 1457536989
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETER A. KANGOS, MD, PA
Provider Business Mailing Address
First Line : 12411 HYMEADOW DR
Second Line : SUITE 3F
City : AUSTIN
State : TX
Zip : 78750-1874
Country : US
Telephone Number : 512-250-1997
Fax Number : 512-250-1529
Provider Business Practice Location Address
First Line : 12411 HYMEADOW DR
Second Line : SUITE 3F
City : AUSTIN
State : TX
Zip : 78750-1874
Country : US
Telephone Number : 512-250-1997
Fax Number : 512-250-1529
Authorized Official
Title or Position : PRESIDENT
Name : PETER ALEXIS KANGOS
Credential : M.D.
Telephone Number : 512-250-1997
Provider Enumeration Date : 01/03/2008
Last Update Date : 11/19/2010

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Directions to “PETER A. KANGOS, MD, PA ” Practice Location

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