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Organization
SGH PEDIATRICS, PLLC
Active
Organization
SGH PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GIBSON-HULL M.D. (OWNER)
(682) 223-1696
Entity
Organization
Contact information
Practice address
800 W ARBROOK BLVD, SUITE 250, ARLINGTON, TX 76015-4327
(682) 223-1696
(817) 488-6671
Mailing address
901 W WALL ST, SUITE 101, GRAPEVINE, TX 76051-7414
(682) 223-1696
(817) 488-6671
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L4392
TX
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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