NASA CASA DE NINOS PEDIATRIC CENTER, PA
Ambulatory Health at Kings Row, Houston, TX

License number
Texas J5879
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: IDALIA R RIVERA-MATOS MD
Title: PRESIDENT
Phone: (281) 323-9724
Address
Address
18096 Kings Row SUITE B, Houston, TX 77058
National Provider ID: 1023329117
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NASA CASA DE NINOS PEDIATRIC CENTER, PA

Houston, TX

Industry:
Medical Doctor's Office
Doing business as:
Nasa Casa De Ninos Pediatric Center, PA<br>Nasa Pediatrics
Registration:
Jun 21, 2010
Addresses:
10851 Scarsdale Blvd STE 160, Houston, TX 77089 (Mailing)
18096 Kings Row, Houston, TX 77058
State ID:
0801284642
Business type:
Professional Association
Director, Member, President:
Idalia Rivera-Matos (Director, Member, President)
TIN:
32042091937

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