Provider Demographics
NPI:1740644251
Name:BEE & BEE PEDIATRICS
Entity type:Organization
Organization Name:BEE & BEE PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLYN
Authorized Official - Middle Name:LUCIA
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-901-9499
Mailing Address - Street 1:2038 MILAN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4306
Mailing Address - Country:US
Mailing Address - Phone:936-344-1118
Mailing Address - Fax:
Practice Address - Street 1:10393 LEAGUE LINE RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1028
Practice Address - Country:US
Practice Address - Phone:936-344-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8044208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG99384Medicare PIN
TX8146J0Medicare PIN
TXH01300Medicare UPIN