Healthcare Provider Details

I. General information

NPI: 1144848870
Provider Name (Legal Business Name): LITTLE BUDDIES PEDIATRICS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 08/14/2020
Certification Date: 08/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16651 SOUTHWEST FWY STE 180
SUGAR LAND TX
77479-2346
US

IV. Provider business mailing address

16651 SOUTHWEST FWY STE 180
SUGAR LAND TX
77479-2346
US

V. Phone/Fax

Practice location:
  • Phone: 281-265-8800
  • Fax:
Mailing address:
  • Phone: 281-265-8800
  • 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: LAURA BURGOS-ORTA
Title or Position: PARTNER
Credential: MD
Phone: 214-282-0921