| NPI | 1053615625 |
|---|---|
| Doing Business As | CHILDREN'S HEALTH PEDIATRIC GROUP |
| Entity Type | Organization |
| Authorized Contact | LAURA CARR Administrator 214-456-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2014-10-06 |