Organization
DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN INC
Active
Other names
Children's Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MELTON (SVP PHYSICIAN ORGANIZATION)
(214) 456-0039
Entity
Organization
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393968
MEDICARE
TX
01
—
404548
MEDICARE
TX
01
—
554199
MEDICARE
TX
Enumeration date
10/21/2013
Last updated
08/03/2023
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