Organization
KIDS DOC'S PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA M GOMEZ MD (GENERAL PARTNER)
(972) 608-0200
Entity
Organization
Contact information
Practice address
6130 W PARKER RD, SUITE 400, PLANO, TX 75093-7901
(972) 608-0200
(972) 608-0617
Mailing address
6130 W PARKER RD, SUITE 400, PLANO, TX 75093-7901
(972) 608-0200
(972) 608-0617
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
F4005
TX
261QP2300X
Primary Care Clinic/Center
F4402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322992401
—
TX
Enumeration date
01/02/2007
Last updated
12/17/2013
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