Organization
DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN INC
Active
Other names
Children's Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MELTON (SVP PHYSICIAN ORGANIZATION)
(214) 456-0039
Entity
Organization
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393968
MEDICARE
TX
01
—
404548
MEDICARE
TX
05
—
452807701
—
TX
01
—
554199
MEDICARE
TX
Enumeration date
01/30/2007
Last updated
06/16/2023
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