CAPITAL PEDIATRIC GROUP ASSOCIATES
Medical Practice in Austin, TX

License number
Texas E0921
Category
Medical Practice
Type
Pediatrics
Owner
Name: DOROTHY CAROLE CAMPBELL
Title: CREDENTIALING SPECIALIST
Phone: (512) 454-4545
Address
Address
1100 1/2 St, Austin, TX 78756
National Provider ID: 1235282112
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAPITAL PEDIATRIC GROUP, ASSOCIATED

Austin, TX

Industry:
Medical Doctor's Office
Registration:
Jan 7, 1988
Phone:
(512) 454-4545 (Phone)
Addresses:
1100 W 39 1/2, Austin, TX 78756 (Mailing)
1100 W 39-1 2, Austin, TX 78756
State ID:
0081135803
Business type:
Professional Association
Nurses:
Thomas E. Hughes (President, Medical Director, Senior Partner, Medical Doctor, President , Director, Executive Committee, Member),Sandra K. Treybig (Principal, Pediatrics, Medical Doctor, Treasurer , Director, Executive Committee, Member),Sarah Kiger (Nursing Supervisor , Office Manager),...
TIN:
17425089103
SIC:
8011 - Offices and Clinics of Doctors of Medicine

Capital Pediatric Group, Associated

4100 Duval Rd, Austin, TX 78759

Industry:
Medical Doctor's Office, Pediatrician
Doing business as:
Capital Pediatric Group
Phone:
(512) 250-0220 (Phone)
Medical Doctors:
Lola Culwell (Office Manager),Helen Ma (Pediatrics),Elise L. Kibler (Pediatrics),...

Capital Pediatric Group, Associated

4100 Duval Rd, Austin, TX 78759

Industry:
Medical Doctor's Office
Phone:
(512) 250-0220 (Phone)
Medical Doctors:
Lola Culwell (Office Manager),Helen Ma (Pediatrics),Elise L. Kibler (Pediatrics),...

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