Organization
GARLAND KIDS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO LOPEZ PA-C (MANAGER)
(972) 272-2777
Entity
Organization
Contact information
Practice address
323 N SHILOH RD, GARLAND, TX 75042-6610
(972) 272-2777
Mailing address
323 N SHILOH RD, GARLAND, TX 75042-6610
(972) 272-2777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03931
TX
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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