Organization · Type 2 NPI
Doctormom,md Pediatrics PLLC
Primary Care Clinic/Center · Burleson, TX
NPI number
1720403371
Active
Practice location
712 SW Wilshire Blvd
Burleson, TX 76028-5711
Fax (817) 426-4109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | H4400 (TX) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1720403371
Doctormom,md Pediatrics PLLC's National Provider Identifier is 1720403371, issued on Feb 19, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Burleson, TX. The record was last updated on Feb 19, 2014.