JUDITH PANERGO LAZOL (NPI# 1689992521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689992521 |
Entity Type | Individual |
Full Name | JUDITH PANERGO LAZOL |
Credential | MD |
Practice Address |
1901 Sw H K Dodgen Loop Bldg 300 Temple TX 76502-1814 |
Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
Practice Telephone | 2547245437 |
Practice Fax Number | 2547247597 |
Enumeration Date | 2010-05-16 |
Last Update Date | 2020-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | N6450 | TX | Allopathic & Osteopathic Physicians |
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
N6450 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1689992521 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2401 S 31st St, Temple, TX 765080001 | 2547248913 |
Street Address |
1901 SW H K DODGEN LOOP BLDG 300 |
City | TEMPLE |
State | TX |
Zip Code | 76502-1814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952361669 | Jerry Hall | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2006-03-25 |
1477091585 | Jessica F Jester | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2017-02-09 |
1770035941 | Toni Sorensen | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-11-03 |
1790138378 | Brittany Eichhorn | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 | 2016-07-19 |
1427408624 | Leah Gail Mathias | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-06-18 |
1407269277 | Sherline David | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-06-09 |
1023435278 | Aishwarya Raju | Psychiatry & Neurology | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-03-26 |
1487096947 | Larissa Lashelle Williams | Physician Assistant | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2013-07-25 |
1396004115 | Vanessa Marie Munoz Rivera | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2012-05-14 |
1558646349 | Nicholas William Mcgregor | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2011-10-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
Find all providers in zip 76502 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508118274 | Ashish Virendra Banker | Pediatrics | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2012-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114544640 | Adebo Clinic, Pllc | Pediatrics | 16651 Southwest Fwy Ste 150, Sugar Land, TX 77479-2346 | 2020-06-30 |
1487285656 | Total Care Pllc | Pediatrics | 7888 Gateway Blvd E Fl 2nd, El Paso, TX 79915-1815 | 2020-01-28 |
1891127726 | Stephanie Ghaleb | Pediatrics | 3333 S.alameda St, 13k, Corpus Christi, TX 78411 | 2013-08-02 |
1417202177 | Unnati Doshi | Pediatrics | 17510 W Grand Pkwy S Ste 550, Sugar Land, TX 77479-2649 | 2012-07-18 |
1780948737 | Tam Dan Nguyen Pham | Pediatrics | 6651 Main St Fl 19, Houston, TX 77030-2351 | 2012-06-25 |
1710245642 | Jerry Thyparampil Michael | Pediatrics | 3533 S Alameda St Ste H-100, Corpus Christi, TX 78411-1721 | 2012-04-29 |
1578883187 | Fetal Care Consultants, LLC. | Pediatrics | 7777 Forest Ln Ste 742, Dallas, TX 75230-2571 | 2010-06-04 |
1134446073 | Kristal L Woldu | Pediatrics | 1500 Cooper St Fl 3, Fort Worth, TX 76104-2710 | 2010-05-03 |
1063738961 | Roberto L. Villarreal Mdpa | Pediatrics | 6553 Metro Court, Suite A, Laredo, TX 78041 | 2010-04-16 |
1982840815 | Valley Pediatric Cardiology, P.l.l.c | Pediatrics | 702 E. Expressway 83 Suite A3, Donna, TX 78537 | 2008-12-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.