Organization
PEDIATRIC OFFICES AT WILLOW BEND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI STARR (BILLING)
(972) 781-1414
Entity
Organization
Contact information
Practice address
6529 W PLANO PKWY, SUITE B, PLANO, TX 75093-8209
(972) 781-1414
(972) 781-1717
Mailing address
6529 W PLANO PKWY, SUITE B, PLANO, TX 75093-8209
(972) 781-1414
(972) 781-1717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G8509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G1040
BC/BS PROVIDER NUMBER
TX
Enumeration date
06/09/2008
Last updated
06/09/2008
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