| NPI | 1053951665 |
|---|---|
| Former Legal Business Name | DESERT PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JASON WANG Medical Director 972-948-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2021-02-28 |