| NPI | 1467678029 |
|---|---|
| Doing Business As | PEDIATRIC PLACE |
| Entity Type | Organization |
| Authorized Contact | KELLE MAYNARD Billing Manager 972-519-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |