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Organization
TLC PEDIATRICS, P.A.
Active
Organization
TLC PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J MOULTON M.D. (DOCTOR)
(972) 747-5437
Entity
Organization
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 320, ALLEN, TX 75013-6103
(972) 747-5437
(972) 747-5497
Mailing address
1105 CENTRAL EXPY N, SUITE 320, ALLEN, TX 75013-6103
(972) 747-5437
(972) 747-5497
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L1138
TX
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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