Healthcare Provider Details

I. General information

NPI: 1316957731
Provider Name (Legal Business Name): PROFESSIONAL ASSN FOR PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 HICKORY ST SUITE #102
ABILENE TX
79601-2334
US

IV. Provider business mailing address

1850 HICKORY ST SUITE #102
ABILENE TX
79601-2334
US

V. Phone/Fax

Practice location:
  • Phone: 325-677-2801
  • Fax:
Mailing address:
  • Phone: 325-677-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTHUR GREGORY TUEGEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 325-677-2801