Provider Demographics
NPI:1184680696
Name:ABILENE CHILDREN'S MEDICAL ASSOCIATION, LLP
Entity Type:Organization
Organization Name:ABILENE CHILDREN'S MEDICAL ASSOCIATION, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MASLANKA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:325-677-6067
Mailing Address - Street 1:2150 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2332
Mailing Address - Country:US
Mailing Address - Phone:325-677-6067
Mailing Address - Fax:325-677-6233
Practice Address - Street 1:2150 CEDAR ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2332
Practice Address - Country:US
Practice Address - Phone:325-677-6067
Practice Address - Fax:325-677-6233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty