Organization
C & M PEDIATRIC ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI CAPINO M.D. (VICE PRESIDENT)
(972) 641-3364
Entity
Organization
Contact information
Practice address
929 W PIONEER PKWY, SUITE A, GRAND PRAIRIE, TX 75051-4734
(972) 641-3364
(972) 641-3369
Mailing address
929 W PIONEER PKWY, SUITE A, GRAND PRAIRIE, TX 75051-4734
(972) 641-3364
(972) 641-3369
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F2583
TX
Other
Enumeration date
05/04/2007
Last updated
06/16/2008
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