Organization
KIDSVILLE PEDIATRICS PROSPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAH (EXECUTIVE MANAGER)
(682) 868-1020
Entity
Organization
Contact information
Practice address
1400 N COIT RD STE 1604, MCKINNEY, TX 75071-6661
(682) 868-1020
Mailing address
1400 N COIT RD STE 1604, MCKINNEY, TX 75071-6661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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