Organization
LITTLE ELM FRISCO CHILDREN'S CLINIC
Active
Parent organization
LITTLE ELM-FRISCO CHILDREN'S CLINIC PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE ELM-FRISCO CHILDREN'S CLINIC PLLC
Authorized official
DR. PREM P GUPTA MD (PARTNER)
(214) 494-4622
Entity
Organization
Contact information
Practice address
12398 FM 423, SUITE 600, FRISCO, TX 75033-0158
(214) 494-4622
(214) 494-4609
Mailing address
12398 FM 423, SUITE 600, FRISCO, TX 75033-0158
(214) 494-4622
(214) 494-4609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F7772
TX
208000000X
Pediatrics Physician
F8878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126877306
—
TX
05
—
133070608
—
TX
05
—
220282201
—
TX
05
—
220282202
—
TX
05
—
24778
—
NM
Enumeration date
02/17/2011
Last updated
01/11/2023
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