Provider Demographics
NPI:1235420068
Name:PRACTICAL APPROACH PEDIATRICS PLLC
Entity Type:Organization
Organization Name:PRACTICAL APPROACH PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLUTOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADETONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-697-3900
Mailing Address - Street 1:9480 HUEBNER RD
Mailing Address - Street 2:400
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1655
Mailing Address - Country:US
Mailing Address - Phone:210-697-3900
Mailing Address - Fax:210-697-3904
Practice Address - Street 1:9480 HUEBNER RD
Practice Address - Street 2:400
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1655
Practice Address - Country:US
Practice Address - Phone:210-697-3900
Practice Address - Fax:210-697-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty