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Organization
PETER L DY MD PA
Active
Organization
PETER L DY MD PA
Active
Other names
Heavenly Children's Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIENNA DY (MANAGER)
(956) 283-8990
Entity
Organization
Contact information
Practice address
806 S CAGE BLVD STE B, PHARR, TX 78577-5961
(956) 283-8990
(956) 283-8980
Mailing address
PO BOX 2946, MCALLEN, TX 78502-2946
(956) 283-8990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K9055
TX
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175442601
—
TX
05
—
175442602
—
TX
Enumeration date
07/29/2006
Last updated
10/21/2022
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