NPI | 1013922731 |
---|---|
Other Name | MD PEDIATRIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | MARK W HOLT President 972-420-1475 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2006-07-30 |
Last Update Date | 2012-02-17 |