| NPI | 1336417039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTI JAIN Owner/Physician 972-216-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J9110) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX J9110) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 717114) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2012-04-17 |