Pediatric Ent Associates

NPI 1023120698 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1023120698
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL JOSEPH MICHAEL
Position OWNER
Phone (214) 696-8900
Fax (214) 696-8908
Practice Location
8325 WALNUT HILL LN STE 100
DALLAS TX, 75231-4262, US
Phone (214) 696-8900
Fax (214) 696-8908
Business Location
8325 WALNUT HILL LN STE 100
DALLAS TX, 75231-4262, US
Phone (214) 696-8900
Fax (214) 696-8908
Toxanomy
Taxonomy Code 305R00000X
License State Texas
License Number J4719
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According to our database, Pediatric Ent Associates NPI is 1023120698, taxonomy code is 305R00000X and license number is J4719, license state is located at Texas. Pediatric Ent Associates physically located at 8325 Walnut Hill Ln Ste 100, Dallas TX, 75231-4262. NPI Number 1033115704 has the healthcare provider type.

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1023120698 NPI number is provided on an as is basis without warranty of any kind. 1023120698 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Ent Associates are for informational purposes only.