Organization
MCKINNEY ABC PEDIATRICS, P.A.
Active
Other names
ABC Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE DONDERO (OFFICE MANAGER)
(972) 569-9904
Entity
Organization
Contact information
Practice address
5333 W. UNIVERSITY DRIVE, MCKINNEY, TX 75071
(972) 569-9904
(972) 569-9943
Mailing address
PO BOX 2146, MCKINNEY, TX 75070-8165
(972) 569-9904
(972) 569-9943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K2007
TX
208000000X
Pediatrics Physician
Primary
M1578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198460102
—
TX
Enumeration date
04/18/2007
Last updated
07/23/2014
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