| NPI | 1952946428 |
|---|---|
| Doing Business As | SHINING STAR PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | EARLENE COOK Office Manager 903-985-8110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-14 |