Organization · Type 2 NPI

Old Town Pediatrics of Mesquite PA

Pediatric Adolescent Medicine Physician · Mesquite, TX

NPI number 1609165109 Active

Practice location

502 W Kearney St, Suite 700
Mesquite, TX 75149-3401

Fax (972) 289-9076

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XH8853 (TX)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4 other providers at this address

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About NPI 1609165109

Old Town Pediatrics of Mesquite PA's National Provider Identifier is 1609165109, issued on Apr 5, 2011. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Mesquite, TX. The record was last updated on Apr 5, 2011.