Organization
NAGARATINA SALEM, MD,PA
Active
Other names
Pediatrica Health of Texas, PA, Craig Ranch Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ALBERTO GUETHON MD (VP CLINICAL OPERATIONS)
(561) 267-2128
Entity
Organization
Contact information
Practice address
6850 TPC DR, SUITE 100, MCKINNEY, TX 75070-3128
(214) 383-4400
(214) 383-4403
Mailing address
4950 SW 72ND AVE STE 106, MIAMI, FL 33155-5500
(786) 875-1927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K4225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010RF
BLUE CROSS BLUE SHIELD
TX
05
—
111786306
—
TX
05
—
197553402
—
TX
Enumeration date
04/02/2008
Last updated
02/26/2026
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