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Organization

PEDIPLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY ROBINS (PRESIDENT & CEO)
(469) 322-3663
Entity
Organization

Contact information

Practice address
7989 BELT LINE RD, #120, DALLAS, TX 75248-5734
(469) 322-3662
(972) 353-5780
Mailing address
7989 BELT LINE RD, SUITE 120, DALLAS, TX 75248-5734
(469) 322-3662

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary

Other

Enumeration date
11/25/2013
Last updated
11/25/2013
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