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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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