Healthcare Provider Details

I. General information

NPI: 1154458917
Provider Name (Legal Business Name): AFTER HOURS PEDIATRIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 PLAINVIEW ST SUITE A - 5
PASADENA TX
77504-1985
US

IV. Provider business mailing address

3351 PLAINVIEW ST SUITE A - 5
PASADENA TX
77504-1985
US

V. Phone/Fax

Practice location:
  • Phone: 713-947-1770
  • Fax: 713-830-2998
Mailing address:
  • Phone: 713-947-1770
  • Fax: 713-830-2998

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. OTTO HANS KIEFFER
Title or Position: OWNER SECRETARY
Credential: MD
Phone: 713-947-1770