Organization
CLJ PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HARTMAN DANIEL M.D. (OWNER)
(972) 231-9421
Entity
Organization
Contact information
Practice address
3601 NORTH STAR RD, RICHARDSON, TX 75082-2608
(972) 231-9421
(972) 907-8779
Mailing address
3601 NORTH STAR RD, RICHARDSON, TX 75082-2608
(972) 231-9421
(972) 907-8779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G5885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112124602
—
TX
01
—
E77631
UPIN
TX
Enumeration date
11/10/2011
Last updated
11/10/2011
Update your record
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