Provider Demographics
NPI:1588038277
Name:HEALTHY ANGELS PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:HEALTHY ANGELS PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:D
Authorized Official - Last Name:PIRRAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-671-2806
Mailing Address - Street 1:1818 ROGERS RD
Mailing Address - Street 2:# 1038
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4586
Mailing Address - Country:US
Mailing Address - Phone:631-671-2806
Mailing Address - Fax:210-526-0334
Practice Address - Street 1:1818 ROGERS RD
Practice Address - Street 2:# 1038
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4586
Practice Address - Country:US
Practice Address - Phone:631-671-2806
Practice Address - Fax:210-526-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4673208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty