| NPI | 1134815202 |
|---|---|
| Doing Business As | GENESIS PEDIATRICS, LLC |
| Entity Type | Organization |
| Authorized Contact | RAELANDA SMITH CEO 214-316-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |