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Organization
CHILDGROVE PEDIATRICS
Active
Organization
CHILDGROVE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BABCOCK (OFFICE MANAGER)
(972) 304-0091
Entity
Organization
Contact information
Practice address
150 S DENTON TAP RD STE 116, COPPELL, TX 75019-3323
(972) 304-0091
(972) 393-0959
Mailing address
150 S DENTON TAP RD STE 116, COPPELL, TX 75019-3323
(972) 304-0091
(972) 393-0959
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
J2379
TX
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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