Provider Demographics
NPI:1972071207
Name:PEEKABOO PEDIATRICS
Entity Type:Organization
Organization Name:PEEKABOO PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HEENA
Authorized Official - Middle Name:NARENDRA
Authorized Official - Last Name:THAKKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-861-4800
Mailing Address - Street 1:1740 W 27TH ST STE 305
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1437
Mailing Address - Country:US
Mailing Address - Phone:713-861-4800
Mailing Address - Fax:713-861-7762
Practice Address - Street 1:1740 W 27TH ST STE 305
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1437
Practice Address - Country:US
Practice Address - Phone:713-861-4800
Practice Address - Fax:713-861-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty