| NPI | 1245583426 |
|---|---|
| Doing Business As | PEDIATRICS PALACE OF DFW |
| Entity Type | Organization |
| Authorized Contact | ANA I VALDES ROQUE Managing Member 817-933-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N4176) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2013-01-22 |