# CHILDREN'S MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003912197
- **Authorized official:** MR. BOUAPHANE HONGKEO PA (PA FOR PEDIATRIC NEUROSURGERY)
- **Authorized official phone:** (214) 456-6660

## Contact information

- **Practice address:** 1935 MOTOR ST, DALLAS, TX 75235-7701
- **Practice address phone:** (214) 456-6660
- **Practice address fax:** (214) 456-6696
- **Mailing address:** 2300 MESA OAK TRL, PLANO, TX 75025-4721
- **Mailing address phone:** (214) 280-9267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | PA04770 | TX | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/06/2008