Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | F1751 | TX |
NPI | 1003895285 |
---|---|
Provider Name | Christine A Littlefield |
First Address | San Antonio, TX 78238-1138 |
Second Address | San Antonio, TX 78238-1138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 18/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018508401 | (05) | TX |
047207801 | (05) | TX |
1003895285 | NPI (01) | TX |
890103 | BCBS (01) | TX |
F44390 | (02) | TX |