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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
DR. LAURA S STILES D.O. (PRESIDENT)
(972) 288-7337
Entity
Organization
Contact information
Practice address
502 W KEARNEY ST, SUITE 700, MESQUITE, TX 75149-3401
(972) 288-7337
(972) 289-9076
Mailing address
502 W KEARNEY ST, SUITE 700, MESQUITE, TX 75149-3401
(972) 288-7337
(972) 289-9076
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
H8853
TX
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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