| Little Plum Blossom Pediatrics, Pllc | |
|
311 S Fm 1187 300 Aledo TX 76008-6449 | |
| (817) 441-2266 | |
| (877) 293-3512 |
| Full Name | Little Plum Blossom Pediatrics, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 311 S Fm 1187, Aledo, Texas |
| Authorized Official Name and Position | Gina Fowler (MANAGING MEMBER) |
| Authorized Official Contact | 8174412266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Plum Blossom Pediatrics, Pllc 311 S Fm 1187 300 Aledo TX 76008-6449 Ph: (817) 441-2266 | Little Plum Blossom Pediatrics, Pllc 311 S Fm 1187 300 Aledo TX 76008-6449 Ph: (817) 441-2266 |
| NPI Number | 1689014334 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 06/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689014334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M9285 (Texas) | Primary |
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