| NPI | 1669146346 |
|---|---|
| Doing Business As | THE PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONYA SIMS Administrator 501-758-1530 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |