Organization · Type 2 NPI

Pediaq Texas LLC

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1326415779 Active

Practice location

17101 Preston Rd, Ste 115
Dallas, TX 75248-1331

Fax (972) 294-3343

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed
Critical Care Pediatric Nurse Practitioner 363LP0222X226944 (TX)

Pediatric Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1326415779

Pediaq Texas LLC's National Provider Identifier is 1326415779, issued on Sep 1, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Sep 1, 2015.