| NPI | 1790292118 |
|---|---|
| Doing Business As | PEDIATRIC & ADOLESCENT SPECIALISTS OF ROCKWALL |
| Entity Type | Organization |
| Authorized Contact | GREGORY MATTHEW SONNEN Managing Member 214-771-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K5213) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX J3871) |
| 208000000X Pediatrics (Licence: TX L2797) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2020-01-22 |