Organization
PID ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART WILLILAM EHRETT M.D. (PRESIDENT)
(214) 855-8510
Entity
Organization
Contact information
Practice address
4014 CRESTWOOD DR, CARROLLTON, TX 75007-1645
(214) 855-8510
Mailing address
4014 CRESTWOOD DR, CARROLLTON, TX 75007-1645
(214) 340-3513
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00610K
BCBS
TX
05
—
100755250A
—
OK
05
—
121888502
—
TX
Enumeration date
01/10/2006
Last updated
07/02/2014
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