Organization
PEDCARE, PA
Active
Other names
Pediatric Clinic of Mesquite
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA LAFONTAINE (MANAGER)
(972) 682-1791
Entity
Organization
Contact information
Practice address
3230 INTERSTATE 30, SUITE 100, MESQUITE, TX 75150
(972) 682-1791
Mailing address
3230 INTERSTATE 30, SUITE #100, MESQUITE, TX 75150
(972) 682-1791
(972) 698-7631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K3364
TX
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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