LITTLE PLUM BLOSSOM PEDIATRICS, PLLC – NPI #1689014334
Clinic/Center

LITTLE PLUM BLOSSOM PEDIATRICS, PLLC is an AHC clinic located in ALEDO, TX. NPPES has assigned the NPI number 1689014334 to LITTLE PLUM BLOSSOM PEDIATRICS, PLLC on June 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LITTLE PLUM BLOSSOM PEDIATRICS, PLLC below.

NPI Profile for
LITTLE PLUM BLOSSOM PEDIATRICS, PLLC

NPI Number
1689014334
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LITTLE PLUM BLOSSOM PEDIATRICS, PLLC
Primary location
311 S FM 1187
300
ALEDO, TX 76008-6449
Phone: (817) 441-2266 Fax: (877) 293-3512
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GINA FOWLER
MANAGING MEMBER
Phone: (817) 441-2266
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 TX M9285

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.