Children'S Bmg
Pediatrics in Plano, TX. Organization (NPI-2).
NPI number1902278377
StatusActive
Last updated in NPPESSep 7, 2016
Details
- NPI
- 1902278377
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Bmg
- Organization subpart
- No
- Enumeration date
- Oct 26, 2015
- Last updated
- Sep 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- One Care Domain (Doing Business As)
Practice location
7000 Preston RdPlano, TX 75024
Phone 214-456-0518
Mailing address
1935 Medical District DrDallas, TX 75235-7701
Phone 214-456-7000
Authorized official
Jerry Lee
Vice President Of Accounting
2144560588
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