| NPI | 1417177841 |
|---|---|
| Doing Business As | PEDIATRIC CLINIC OF MESQUITE |
| Entity Type | Organization |
| Authorized Contact | MONA LAFONTAINE Manager 972-682-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K3364) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |