Organization
PEDCARE, PA
Active
Other names
Kids Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BELINDA AGUILAR (CREDENTIALING COORDINATOR)
(972) 682-1791
Entity
Organization
Contact information
Practice address
3228 INTERSTATE 30, SUITE 300, MESQUITE, TX 75150-2633
(972) 682-1791
(972) 698-7641
Mailing address
3228 INTERSTATE 30, SUITE 300, MESQUITE, TX 75150-2633
(972) 682-1791
(972) 698-7641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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