Provider Demographics
NPI:1386192656
Name:SURGEONS WHO ONLY CARE FOR KIDS, PA
Entity Type:Organization
Organization Name:SURGEONS WHO ONLY CARE FOR KIDS, PA
Other - Org Name:AUSTIN PEDIATRIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-708-1234
Mailing Address - Street 1:1301 MEDICAL PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2305
Mailing Address - Country:US
Mailing Address - Phone:512-708-1234
Mailing Address - Fax:
Practice Address - Street 1:1301 MEDICAL PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2305
Practice Address - Country:US
Practice Address - Phone:512-708-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric SurgeryGroup - Multi-Specialty