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Organization

DALLAS PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANISA AHMED M.D. (DIRECTOR)
(214) 728-8867
Entity
Organization

Contact information

Practice address
12606 GREENVILLE AVE STE 120, DALLAS, TX 75243-1926
(214) 292-0072
(972) 231-0360
Mailing address
3409 SPECTRUM BLVD STE 300, RICHARDSON, TX 75082-9713
(214) 728-8867
(972) 231-0360

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046074304
TX
05
046074305
TX
05
046074306
TX
05
359470702
TX
05
359470704
TX
Enumeration date
05/06/2016
Last updated
12/21/2021
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