Provider Demographics
NPI:1255928909
Name:HOUSE CALL PEDIATRICS LLC
Entity type:Organization
Organization Name:HOUSE CALL PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LISTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-373-8480
Mailing Address - Street 1:3516 BANKS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7002
Mailing Address - Country:US
Mailing Address - Phone:504-373-8480
Mailing Address - Fax:504-910-9141
Practice Address - Street 1:3516 BANKS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7002
Practice Address - Country:US
Practice Address - Phone:504-373-8480
Practice Address - Fax:504-910-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care