Provider Demographics
NPI:1942854047
Name:FULL CARE PEDIATRICS PLLC
Entity Type:Organization
Organization Name:FULL CARE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HALA
Authorized Official - Middle Name:R
Authorized Official - Last Name:EL MARAGHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-680-0800
Mailing Address - Street 1:6750 TEZEL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-4183
Mailing Address - Country:US
Mailing Address - Phone:210-680-0800
Mailing Address - Fax:
Practice Address - Street 1:6750 TEZEL RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-4183
Practice Address - Country:US
Practice Address - Phone:210-680-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2020-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty