Healthcare Provider Details

I. General information

NPI: 1740644251
Provider Name (Legal Business Name): BEE & BEE PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 04/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10393 LEAGUE LINE RD
CONROE TX
77304-1028
US

IV. Provider business mailing address

2038 MILAN
SAN ANTONIO TX
78258-4306
US

V. Phone/Fax

Practice location:
  • Phone: 936-344-1118
  • Fax:
Mailing address:
  • Phone: 936-344-1118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK8044
License Number StateTX

VIII. Authorized Official

Name: DR. MARLYN LUCIA CABRERA
Title or Position: OWNER
Credential: M.D.
Phone: 210-901-9499