Provider Demographics
NPI:1649307380
Name:HOUGH PEDIATRIC LLP
Entity type:Organization
Organization Name:HOUGH PEDIATRIC LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-669-7200
Mailing Address - Street 1:3023 PERRYTON PKWY
Mailing Address - Street 2:206
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2821
Mailing Address - Country:US
Mailing Address - Phone:806-669-7200
Mailing Address - Fax:806-669-7211
Practice Address - Street 1:3023 PERRYTON PKWY
Practice Address - Street 2:206
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-2821
Practice Address - Country:US
Practice Address - Phone:806-669-7200
Practice Address - Fax:806-669-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2654208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty