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Organization
THE PEDIATRIC CLINIC, P.A.
Active
Organization
THE PEDIATRIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HENRY MD (OWNER)
(903) 572-9823
Entity
Organization
Contact information
Practice address
2001 N JEFFERSON AVE, SUITE 300, MOUNT PLEASANT, TX 75455-2371
(903) 572-9823
(903) 572-4812
Mailing address
2001 N JEFFERSON AVE STE 300, MOUNT PLEASANT, TX 75455-2375
(903) 572-9823
(903) 572-4812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/05/2005
Last updated
04/28/2026
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