NPI | 1104220573 |
---|---|
Doing Business As | JOY & CROWN PEDIATRIC SPECIALISTS, PLLC |
Entity Type | Organization |
Authorized Contact | MARYELLEN CAVALIER Owner 469-213-7634 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M9913) |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy (Licence: TX M9913) |
261QM2500X Clinic/Center, Medical Specialty (Licence: TX M9913) | |
Enumeration Date | 2014-10-14 |
Last Update Date | 2014-12-26 |