Organization
LIFETREE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANBU DURAI MUTHUSAMY MD (MANAGING MEMBER)
(714) 679-9651
Entity
Organization
Contact information
Practice address
8195 CUSTER RD STE 110, FRISCO, TX 75035-3195
(469) 830-8835
Mailing address
14818 MAROON BELLS LN, FRISCO, TX 75035-0265
(714) 679-9651
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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