Cavalier Joy & Crown Pediatric Specialists, Pllc

NPI 1104220573 - Clinic/Center - 261QI0500X

NPI Details
NPI 1104220573
Enumeration Date 10/14/2014
Last Updated 12/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARYELLEN MARYELLEN
Position OWNER
Phone (469) 213-7633
Fax (469) 535-3664
Practice Location
7002 LEBANON RD
SUITE 103
FRISCO TX, 75034-7461, US
Phone (469) 213-7633
Fax (469) 535-3664
Business Location
PO BOX 6023
FRISCO TX, 75035-0226, US
Phone (469) 213-7634
Fax (469) 535-3664
Toxanomy
Taxonomy Code 261QI0500X
License State Texas
License Number M9913
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According to our database, Cavalier Joy & Crown Pediatric Specialists, Pllc NPI is 1104220573, taxonomy code is 261QI0500X and license number is M9913, license state is located at Texas. Cavalier Joy & Crown Pediatric Specialists, Pllc physically located at 7002 Lebanon Rd, Frisco TX, 75034-7461. NPI Number 1033115704 has the healthcare provider type.

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1104220573 NPI number is provided on an as is basis without warranty of any kind. 1104220573 is maintained by the National Plan & Provider Enumeration System. The contents of Cavalier Joy & Crown Pediatric Specialists, Pllc are for informational purposes only.