Organization
FRISCO ENT FOR CHILDREN, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA J MOORE CMPE (PRACTICE ADMINISTRATOR)
(972) 745-8400
Entity
Organization
Contact information
Practice address
11445 DALLAS PKWY, SUITE 240, FRISCO, TX 75033-4255
(972) 315-2005
Mailing address
783 N DENTON TAP RD, SUITE 200, COPPELL, TX 75019-2169
(972) 745-8400
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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