Organization
PEDIATRIX MEDICAL GROUP OF TEXAS BILLING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DWYER MD (MARKET PRESIDENT)
(888) 822-2855
Entity
Organization
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(214) 363-0000
(682) 885-4000
Mailing address
3001 E PRESIDENT GEORGE BUSH HWY STE 250, RICHARDSON, TX 75082-3552
(888) 822-2855
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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