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 |