Individual
CEILA GENIO-HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12606 GREENVILLE AVE STE 120, DALLAS, TX 75243-1926
(214) 292-0072
(214) 292-0044
Mailing address
12606 GREENVILLE AVE STE 120, DALLAS, TX 75243-1926
(214) 292-0072
(214) 292-0044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J4647
TX
2080A0000X
Pediatric Adolescent Medicine Physician
J4647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046074303
—
TX
Enumeration date
05/02/2006
Last updated
02/22/2016
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