PEDIPLACE is a pediatrics nurse practitioner in Lewisville, TX. PEDIPLACE NPI is 1467573311. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
502 S OLD ORCHARD LN STE 126
LEWISVILLE, TX
ZIP 75067-374
Phone: (972) 436-7962
Fax: (972) 353-5780
The provider's authorized official is Larry Robins .
The authorized official title is Executive Director and has the following contact phone number (972) 436-7962.
The CLIA number assigned to this NPI record is 45D0952487 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/11/2023.