Organization
MEK PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL R MCDONALD M.D. (PRESIDENT)
(972) 596-2134
Entity
Organization
Contact information
Practice address
11661 PRESTON RD STE 120, DALLAS, TX 75230-6199
(972) 596-2134
Mailing address
11661 PRESTON RD #120, DALLAS, TX 75230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
TX
Other
Enumeration date
09/03/2008
Last updated
10/23/2014
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