Organization
CHILDREN'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOUAPHANE HONGKEO PA (PA FOR PEDIATRIC NEUROSURGERY)
(214) 456-6660
Entity
Organization
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-6660
(214) 456-6696
Mailing address
2300 MESA OAK TRL, PLANO, TX 75025-4721
(214) 280-9267
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
PA04770
TX
Other
Enumeration date
09/15/2006
Last updated
08/06/2008
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