Organization
FORTITUDE PEDIATRIC HEALTHCARE LLC
Active
Other names
Fortitude Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA MARTIN RN (CO-OWNER)
(972) 837-9527
Entity
Organization
Contact information
Practice address
6715 APRICOT LN, FRISCO, TX 75035-7718
(346) 333-8159
Mailing address
6715 APRICOT LN, FRISCO, TX 75035-7718
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
803475
TX
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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