Organization
SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R MAYMON JD (CEO)
(972) 882-9498
Entity
Organization
Contact information
Practice address
9127 KING ARTHUR DR, DALLAS, TX 75247-3607
(972) 882-9498
(972) 755-4420
Mailing address
9127 KING ARTHUR DR, DALLAS, TX 75247-3607
(972) 882-9498
(972) 755-4420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
03/30/2023
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