Basic Information
| Provider Information | |||||||||
| NPI: | 1740494160 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WEE TOTS PEDIATRICS, P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4201 INTERWAY PLACE | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760180000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8176529192 | ||||||||
| FaxNumber: | 8176523011 | ||||||||
| Practice Location | |||||||||
| Address1: | 4201 INTERWAY PLACE | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760180000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8176529192 | ||||||||
| FaxNumber: | 8176523011 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MARTINEZ | ||||||||
| AuthorizedOfficialFirstName: | JASMIN | ||||||||
| AuthorizedOfficialMiddleName: | G. | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8176529192 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.