Organization
PEDIATRIC CLINIC OF ROCKWALL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA STILES D.O. (OWNER)
(214) 454-9452
Entity
Organization
Contact information
Practice address
6800 HERITAGE PKWY, 201, ROCKWALL, TX 75087-8746
(972) 463-7337
(972) 463-7004
Mailing address
6800 HERITAGE PKWY, 201, ROCKWALL, TX 75087-8746
(972) 463-7337
(972) 463-7004
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
H8853
TX
Other
Enumeration date
10/24/2012
Last updated
01/25/2013
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