Organization
HEALTHY KIDS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH Z. BAIN M.D. (OWNER)
(972) 294-0808
Entity
Organization
Contact information
Practice address
4851 LEGACY DR, SUITE 601, FRISCO, TX 75034-0816
(972) 294-0808
(972) 294-0809
Mailing address
4851 LEGACY DR, SUITE 601, FRISCO, TX 75034-0816
(972) 294-0808
(972) 294-0809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J6315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083700314
DR. BAIN'S INDIVIDUAL NPI
TX
Enumeration date
06/14/2007
Last updated
08/22/2020
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