Cavalier Joy & Crown Pediatric Specialists, PLLC
Clinic/Center, Primary Care in Frisco, TX. Organization (NPI-2).
NPI number1104220573
StatusActive
Last updated in NPPESDec 26, 2014
Details
- NPI
- 1104220573
- Entity type
- Organization (NPI-2)
- Legal business name
- Cavalier Joy & Crown Pediatric Specialists, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2014
- Last updated
- Dec 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | M9913 | TX | Yes |
| 261QI0500X | Clinic/Center, Infusion Therapy | M9913 | TX | |
| 261QM2500X | Clinic/Center, Medical Specialty | M9913 | TX |
Other names
- Joy & Crown Pediatric Specialists, PLLC (Doing Business As)
Practice location
7002 Lebanon RdSuite 103
Frisco, TX 75034-7461
Phone 469-213-7633 · Fax 469-535-3664
Mailing address
Po Box 6023Frisco, TX 75035-0226
Phone 469-213-7634 · Fax 469-535-3664
Authorized official
Maryellen Cavalier
Owner
4692137634
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