MEDICARE: WHOLE CARE PEDIATRICS PLLC

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
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1568108777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE CARE PEDIATRICS PLLC

Provider Business Mailing Address
First Line	:	12337 JONES RD STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4951
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12337 JONES RD STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4951
Country	:	US
Telephone Number	:	281-984-9480
Fax Number	:	281-984-9481

Authorized Official
Title or Position	:	OWNER
Name	:	OLUFUNMILAYO IKPONWOSA SALAMI
Credential	:
Telephone Number	:	281-984-9480

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	07/19/2023

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Directions to “WHOLE CARE PEDIATRICS PLLC ” Practice Location

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