Organization · Type 2 NPI

Pediplace

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1639509847 Active

Practice location

7989 Belt Line Rd, #120
Dallas, TX 75248-5734

Call (469) 322-3662 Map

Fax (972) 353-5780

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1639509847

Pediplace's National Provider Identifier is 1639509847, issued on Nov 25, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Nov 25, 2013.