PEDIAQ

DALLAS, TX
NPI1477938132
Entity TypeOrganization
Authorized ContactFREDERICK JOHNSON
Medical Director
214-984-3900
Organization Subpart ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2015-07-23
Last Update Date2015-07-23
Business Address
PEDIAQ
17101 PRESTON RD STE 115
DALLAS, TX 75248-1331
Phone number: 214-984-3900
Mailing Address
PEDIAQ
17101 PRESTON RD STE 115
DALLAS, TX 75248-1331
Phone number: 214-984-3900
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