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Organization
OLD TOWN PEDIATRICS OF MESQUITE PA
Active
Organization
OLD TOWN PEDIATRICS OF MESQUITE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA STILES D.O. (OWNER)
(214) 454-9452
Entity
Organization
Contact information
Practice address
502 W KEARNEY ST, #700, MESQUITE, TX 75149-3401
(972) 288-7337
(972) 289-9076
Mailing address
502 W KEARNEY ST, #700, MESQUITE, TX 75149-3401
(972) 288-7337
(972) 289-9076
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
01/25/2013
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