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SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC NPI 1104596543


NPI Information

NPI: 1104596543
Provider Name: SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

Address:
9127 KING ARTHUR DR
DALLAS, TX
ZIP 75247
Phone: (972) 882-9498
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SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC is a medically fragile infants and children day care clinic center in Dallas, TX. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC NPI is 1104596543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9127 KING ARTHUR DR
DALLAS, TX
ZIP 75247-607
Phone: (972) 882-9498
Fax: (972) 755-4420

The provider's authorized official is David R Maymon .
The authorized official title is Ceo and has the following contact phone number (972) 882-9498.

The enumeration date for this NPI number is 9/16/2021 and was last updated on 3/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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