MALCOLM X PEDIATRIC CLINIC

DALLAS, TX
NPI1518290469
Entity TypeOrganization
Authorized ContactRUTH GREER
Owner
214-428-2010
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  245458)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  245458)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  245458)
Enumeration Date2009-09-10
Last Update Date2009-09-10
Business Address
MALCOLM X PEDIATRIC CLINIC
4432 MALCOLM X BLVD
DALLAS, TX 75215-4349
Phone number: 214-428-2010
Mailing Address
MALCOLM X PEDIATRIC CLINIC
4432 MALCOLM X BLVD
DALLAS, TX 75215-4349
Phone number: 214-428-2010