Organization
BREEZE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL E BREEZE MD, FAAP (OWNER)
(903) 957-7426
Entity
Organization
Contact information
Practice address
300 N HIGHLAND AVE, SUITE 550, SHERMAN, TX 75092-7388
(903) 957-7426
(903) 957-7433
Mailing address
PO BOX 837, HOWE, TX 75459-0837
(903) 487-2248
(903) 487-2306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161041204
—
TX
Enumeration date
05/23/2014
Last updated
05/23/2014
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