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Organization

KIDSVILLE PEDIATRICS MANSFIELD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OMAR ASHOUR MD (MANAGER)
(682) 232-4017
Entity
Organization

Contact information

Practice address
1759 BROAD PARK CIR S STE 205, MANSFIELD, TX 76063-7834
(682) 341-3910
(682) 400-1288
Mailing address
1759 BROAD PARK CIR S STE 205, MANSFIELD, TX 76063-7834
(682) 341-3910
(682) 400-1288

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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