Provider Demographics
NPI:1164018735
Name:KINDER HAUS PEDIATRICS
Entity Type:Organization
Organization Name:KINDER HAUS PEDIATRICS
Other - Org Name:KINDER HAUS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-685-9793
Mailing Address - Street 1:5700 SCHERTZ PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1496
Mailing Address - Country:US
Mailing Address - Phone:210-685-9793
Mailing Address - Fax:
Practice Address - Street 1:5700 SCHERTZ PKWY STE 140
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1496
Practice Address - Country:US
Practice Address - Phone:210-566-1533
Practice Address - Fax:810-202-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty