PROSPER PEDIATRICS PLLC NPI 1720488646

NPI Information

  • NPI: 1720488646
  • Provider Name: PROSPER PEDIATRICS PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 45D2087617
  • Address: 1000 PRESTON RD N
    SUITE 20
    PROSPER, TX
    ZIP 75078
  • Phone: (405) 312-9773

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NPI Details

PROSPER PEDIATRICS PLLC is a primary care clinic center in Prosper, TX. PROSPER PEDIATRICS PLLC NPI is 1720488646. The provider is registered as an organization entity type.

The provider's business location address is:

1000 PRESTON RD N
SUITE 20
PROSPER, TX
ZIP 75078-779
Phone: (405) 312-9773

The provider's authorized official is Scott Chowning .
The authorized official title is Manager and has the following contact phone number (405) 312-9773.

The CLIA number assigned to this NPI record is 45D2087617 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2014 and was last updated on 8/27/2014.

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
1261QP2300XClinic/CenterPrimary CareP3521TEXASYes

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: 11/21/2025

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