Organization
AURORA PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAUR GASANOV (ADMINISTRATOR)
(469) 250-1299
Entity
Organization
Contact information
Practice address
5550 GRANITE PKWY STE 265, PLANO, TX 75024-3726
(469) 250-1299
Mailing address
5550 GRANITE PKWY STE 265, PLANO, TX 75024-3726
(469) 250-1299
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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