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NPI Code Detail

MEDICARE: PEDIATRIC MEDICAL CENTER, PA

MEDICARE: PEDIATRIC MEDICAL CENTER, 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 PhysicianTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20001QUOTHERTXBC/BS OF TEXAS

General Provider Information

NPI Number : 1871761940
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC MEDICAL CENTER, PA
Provider Business Mailing Address
First Line : 11450 SPACE CENTER BLVD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77059-3642
Country : US
Telephone Number : 281-991-7000
Fax Number : 281-991-7003
Provider Business Practice Location Address
First Line : 11450 SPACE CENTER BLVD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77059-3642
Country : US
Telephone Number : 281-991-7000
Fax Number : 281-991-7003
Authorized Official
Title or Position : OWNER & PHYSICIAN
Name : DR. ASHU SYAL
Credential :
Telephone Number : 281-991-7000
Provider Enumeration Date : 02/12/2008
Last Update Date : 12/30/2025

Similar Medicare Providers

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Practice Location Address:
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1720637564 — CAITLIN OWENS DPT
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1457021529 — NICOLE KOWALSKI PT, DPT
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1134847981 — DR. KAITLYN MARIE JAYNE PT, DPT
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Directions to “PEDIATRIC MEDICAL CENTER, PA ” Practice Location

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