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KIDS FIRST PEDIATRICS PA NPI 1003946377


NPI Information

NPI: 1003946377
Provider Name: KIDS FIRST PEDIATRICS, PA

Doing Business As: KIDS FIRST PEDIATRICS

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 45D0666194

Address:
2200 VILLAGE PKWY
SUITE 130
HIGHLAND VILLAGE, TX
ZIP 75077
Phone: (972) 317-6000
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KIDS FIRST PEDIATRICS, PA is an adolescent medicine pediatrics in Highland Village, TX. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. KIDS FIRST PEDIATRICS, PA NPI is 1003946377. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kids First Pediatrics.

The provider's business location address is:

2200 VILLAGE PKWY
SUITE 130
HIGHLAND VILLAGE, TX
ZIP 75077-507
Phone: (972) 317-6000
Fax: (972) 317-6011

The provider's authorized official is Lisa K Hobbs .
The authorized official title is Supervisor and has the following contact phone number (972) 317-6000.

The CLIA number assigned to this NPI record is 45D0666194 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 12/20/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1083619901MEDICAIDTEXAS

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: 5/5/2024

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