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Organization
THE PEDIATRIC CLINIC
Active
Organization
THE PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE R. GILES (OFFICE MANAGER)
(903) 455-3261
Entity
Organization
Contact information
Practice address
4818 WELLINGTON ST, SUITE 1, GREENVILLE, TX 75402-6010
(903) 455-3261
(903) 455-0211
Mailing address
4818 WELLINGTON ST, SUITE 1, GREENVILLE, TX 75402-6010
(903) 455-3261
(903) 455-0211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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