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Organization

PEDIATRIC KIDS LAND CLINIC P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FADI M TORRES M.D. (OWNER)
(956) 451-4221
Entity
Organization

Contact information

Practice address
4109 N CONWAY AVE, PALMHURST, TX 78573-1309
(956) 451-4221
(956) 994-1696
Mailing address
4109 N CONWAY AVE, PALMHURST, TX 78573-1309
(956) 451-4221
(956) 994-1696

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/05/2007
Last updated
11/06/2007
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