| NPI | 1093754475 |
|---|---|
| Doing Business As | PEDIATRIC PRIMARY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | FREDRICK P. CERISE President & Chief Executive Officer 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-07-10 |