Organization
KIDSVILLE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK SALMAN MD (MANAGER)
(682) 341-3888
Entity
Organization
Contact information
Practice address
1759 BROAD PARK CIR S, MANSFIELD, TX 76063-7833
(682) 341-3888
(682) 400-1288
Mailing address
1759 BROAD PARK CIR S, MANSFIELD, TX 76063-7833
(682) 341-3888
(682) 400-1288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/20/2021
Last updated
02/22/2023
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