Organization
PEDIATRIC HEALTH PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BOOKOUT DNP (OWNER)
(214) 392-3070
Entity
Organization
Contact information
Practice address
4305 WINDSOR CENTRE TRL, SUITE 300, FLOWER MOUND, TX 75028-1864
(214) 392-3070
Mailing address
4305 WINDSOR CENTRE TRL, SUITE 300, FLOWER MOUND, TX 75028-1864
(214) 392-3070
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
558572
TX
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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