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SARA L. GONDOL MD PLLC NPI 1124335765


NPI Information

NPI: 1124335765
Provider Name: SARA L. GONDOL MD, PLLC

Doing Business As: STARSIDE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2016159

Address:
6851 WARREN PKWY STE 203
FRISCO, TX
ZIP 75034
Phone: (469) 261-6040
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SARA L. GONDOL MD, PLLC is a pediatrics in Frisco, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SARA L. GONDOL MD, PLLC NPI is 1124335765. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Starside Pediatrics.

The provider's business location address is:

6851 WARREN PKWY STE 203
FRISCO, TX
ZIP 75034-173
Phone: (469) 261-6040

The provider's authorized official is Sara Lynn Gondol .
The authorized official title is Owner and has the following contact phone number (469) 261-6040.

The CLIA number assigned to this NPI record is 45D2016159 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2010 and was last updated on 9/2/2010.


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
1208000000XPediatricsM6149TEXASYes

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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