Organization
PEDIATRIC CENTER OF GRAND PRAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE E SCHLEIER (PHYSICIAN)
(972) 401-0700
Entity
Organization
Contact information
Practice address
4927 LAKE RIDGE PKWY, SUITE 120, GRAND PRAIRIE, TX 75052-3087
(972) 401-0700
Mailing address
701 TUSCAN DR, SUITE 285, IRVING, TX 75039-4133
(972) 401-0700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N6133
TX
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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