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Organization
PEDIACARE OF TEXAS INC
Active
Organization
PEDIACARE OF TEXAS INC
Active
Other names
PediaCare Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUNDAN L SHARMA (OWNER)
(972) 503-5437
Entity
Organization
Contact information
Practice address
12810 HILLCREST RD. 209 B, DALLAS, TX 75230
(972) 503-5437
(972) 458-7337
Mailing address
12810 HILLCREST RD 209 B, DALLAS, TX 75230
(972) 503-5437
(972) 458-7337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
010516
TX
251E00000X
Home Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179921501
—
TX
Enumeration date
07/27/2006
Last updated
05/01/2013
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