Organization
CENTRO DE PEDIATRIA HISPANA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO ESTRADA MD (OWNER)
(972) 840-6500
Entity
Organization
Contact information
Practice address
401 W CENTERVILLE RD, SUITE 1, GARLAND, TX 75041-5458
(972) 840-6500
(972) 840-6550
Mailing address
401 W CENTERVILLE RD, SUITE 1, GARLAND, TX 75041-5458
(972) 840-6500
(972) 840-6550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L4927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1546121904
—
TX
Enumeration date
09/09/2016
Last updated
09/09/2016
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