| NPI | 1982398632 |
|---|---|
| Doing Business As | PEDIATRIC ASSOCIATES 10TH STREET |
| Entity Type | Organization |
| Authorized Contact | ALLEN PATTERSON, CHIEF EXECUTIVE OFFICER Chief Executive Officer 940-766-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |