Provider Demographics
NPI:1770628521
Name:TOMBALL HEALTHCARE FOR PEDIATRICS
Entity Type:Organization
Organization Name:TOMBALL HEALTHCARE FOR PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:KARR
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:281-351-6881
Mailing Address - Street 1:13624 MICHEL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6409
Mailing Address - Country:US
Mailing Address - Phone:281-351-6881
Mailing Address - Fax:291-351-1191
Practice Address - Street 1:13624 MICHEL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6409
Practice Address - Country:US
Practice Address - Phone:281-351-6881
Practice Address - Fax:291-351-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ28882080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG48929Medicare UPIN