Organization · Type 2 NPI
Superior Pediatrics
Primary Care Clinic/Center · Grapevine, TX
NPI number
1881811149
Active
Practice location
3105 Ira E Woods Ave
Grapevine, TX 76051-3891
Fax (817) 416-5372
Mailing address
1611 Regal Oaks Dr
Southlake, TX 76092-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | J5220 (TX) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1881811149
Superior Pediatrics's National Provider Identifier is 1881811149, issued on Apr 19, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Grapevine, TX. The record was last updated on Jul 3, 2008.