| NPI | 1275826208 |
|---|---|
| Doing Business As | CHILDREN MEDICAID CLINIC |
| Entity Type | Organization |
| Authorized Contact | NAVJOT BAJWA Owner 972-691-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX k5790) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |