Organization
VIVA PPECC HURST LLC
Active
Other names
VIVA Pediatric Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
EFREM COLMENERO (PRESIDENT)
(469) 341-7772
Entity
Organization
Contact information
Practice address
705 AIRPORT FWY, HURST, TX 76053-3900
(817) 546-8100
Mailing address
275 W CAMPBELL RD STE 400, RICHARDSON, TX 75080-3581
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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