Organization
NORTH DALLAS PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN R DEVILLENEUVE M.D. (PRESIDENT)
(972) 985-0381
Entity
Organization
Contact information
Practice address
4112 W 15TH ST, SUITE 100, PLANO, TX 75093-5819
(972) 985-0381
Mailing address
4112 W 15TH ST, SUITE 100, PLANO, TX 75093-5819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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