W PENNOCK LAIRD MD PA NPI 1740353598

NPI Information

W PENNOCK LAIRD MD PA is a pediatric cardiology pediatrics in Dallas, TX. The provider is 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. W PENNOCK LAIRD MD PA NPI is 1740353598. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Heart Specialists.

The provider's business location address is:

12201 MERIT DR STE 550
DALLAS, TX
ZIP 75251
Phone: (972) 331-9700
Fax: (972) 331-9833

The provider's authorized official is Vickie J Loose .
The authorized official title is Practice Administrator and has the following contact phone number (972) 331-9695.

The CLIA number assigned to this NPI record is 45D2207031 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/29/2018.

Taxonomy Codes

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Other Identifiers

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