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PEDIATRICIANS OF DALLAS PA NPI 1619036845


NPI Information

NPI: 1619036845
Provider Name: PEDIATRICIANS OF DALLAS, PA

Doing Business As: PEDIATRICIANS OF DALLAS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D1067082

Address:
8325 WALNUT HILL LN
SUITE 225
DALLAS, TX
ZIP 75231
Phone: (214) 691-3535
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PEDIATRICIANS OF DALLAS, PA is a primary care clinic center in Dallas, TX. PEDIATRICIANS OF DALLAS, PA NPI is 1619036845. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatricians Of Dallas.

The provider's business location address is:

8325 WALNUT HILL LN
SUITE 225
DALLAS, TX
ZIP 75231-208
Phone: (214) 691-3535
Fax: (214) 691-1044

The provider's authorized official is Donna Marie Ryde .
The authorized official title is Credential Manager and has the following contact phone number (214) 691-3535.

The CLIA number assigned to this NPI record is 45D1067082 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2006 and was last updated on 7/28/2009.


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
1261QP2300XClinic/CenterPrimary CareTEXASYes

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: 11/14/2023

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