Organization
KIDS CLINIC OF PARIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH CRAIG (MANAGER/OWNER)
(903) 280-7716
Entity
Organization
Contact information
Practice address
345 STONE AVE, PARIS, TX 75460
(903) 280-7716
Mailing address
345 STONE AVE, PARIS, TX 75460-9309
(903) 280-7716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720457609
—
TX
Enumeration date
04/02/2019
Last updated
08/22/2024
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