| NPI | 1720784499 |
|---|---|
| Doing Business As | PDS MEDICAL GROUP LAVEEN |
| Entity Type | Organization |
| Authorized Contact | VALERIE DENISE ESTRADA Credentialing Manager 469-718-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2025-03-26 |