Organization · Type 2 NPI

Kidsville Pediatrics PLLC

Pediatric Critical Care Medicine Physician · Mansfield, TX

NPI number 1689264996 Active

Practice location

1759 Broad Park Cir S
Mansfield, TX 76063-7833

Call (682) 341-3888 Map

Fax (682) 400-1288

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Pediatric Critical Care Medicine Physician Primary 2080P0203XNone listed
Pulmonary Function Technologist Certified Respiratory Therapist 2278P1006XNone listed
Physician Assistant 363A00000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1689264996

Kidsville Pediatrics PLLC's National Provider Identifier is 1689264996, issued on Jan 20, 2021. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Mansfield, TX. The record was last updated on Feb 22, 2023.