Organization
VIVA PPECC HURST LLC
Active
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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