Organization
CHILDREN'S BMG
Active
Other names
One Care Domain
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE (VICE PRESIDENT OF ACCOUNTING)
(214) 456-0588
Entity
Organization
Contact information
Practice address
7000 PRESTON RD, PLANO, TX 75024
(214) 456-0518
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
09/07/2016
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