Organization
NORTHSIDE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEON ABRAHAM MD (MANAGER)
(214) 674-9189
Entity
Organization
Contact information
Practice address
1200 JUPITER RD # 940683, PLANO, TX 75074-7017
(682) 305-7890
Mailing address
317 W MUIRFIELD RD, GARLAND, TX 75044-4233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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