PEDIATRIX MEDICAL GROUP NPI 1972554962

NPI Information

  • NPI: 1972554962
  • Provider Name: PEDIATRIX MEDICAL GROUP
  • Classification: Nurse Practitioner - 363LC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 3001 E PRESIDENT GEORGE BUSH HWY
    SUITE 250
    RICHARDSON, TX
    ZIP 75082
  • Phone: (972) 437-5099

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NPI Details

PEDIATRIX MEDICAL GROUP is a critical care medicine nurse practitioner in Richardson, TX. PEDIATRIX MEDICAL GROUP NPI is 1972554962. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3001 E PRESIDENT GEORGE BUSH HWY
SUITE 250
RICHARDSON, TX
ZIP 75082-542
Phone: (972) 437-5099

The provider's authorized official is Nancy Ellen Flavin .
The authorized official title is Neonatal Nurse Practitoner and has the following contact phone number (972) 437-5099.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 3/3/2016.

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
1363LC0200XNurse PractitionerCritical Care Medicine676602TEXASYes

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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