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Organization
SHINE PEDIATRICS AND WELLNESS CENTER P.A.
Active
Organization
SHINE PEDIATRICS AND WELLNESS CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY NAIDOO M.D. (PRESIDENT)
(469) 939-6336
Entity
Organization
Contact information
Practice address
3600 SHIRE BLVD, SUITE 110, RICHARDSON, TX 75082-2240
(469) 333-1543
(877) 878-9118
Mailing address
3600 SHIRE BLVD, SUITE 110, RICHARDSON, TX 75082-2240
(469) 333-1543
(877) 878-9118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M0506
TX
208000000X
Pediatrics Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
11/09/2012
Last updated
08/10/2021
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