NPI: 1407860737 · LAKE JACKSON, TX 77566 · Pediatrics Physician · NPI assigned 07/29/2006
| Authorized Official | HARDOIN, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 07/29/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 22 | $190.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22 | 16 | $190.38 |