Organization
LAS COLINAS PEDIATRIC ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON L WIENER M.D, (PEDIATRICIAN)
(972) 659-0404
Entity
Organization
Contact information
Practice address
4301 N MAC ARTHUR, STE. 101, IRVING, TX 75038
(972) 659-0404
(972) 659-0184
Mailing address
4301 N. MAC ARTHUR, STE. 101, IRVING, TX 75038
(972) 659-0404
(972) 659-0184
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G8509
TX
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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