| Las Colinas Pediatric Association | |
|
4301 N Mac Arthur Ste. 101 Irving TX 75038 | |
| (972) 659-0404 | |
| (972) 659-0184 |
| Full Name | Las Colinas Pediatric Association |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4301 N Mac Arthur, Irving, Texas |
| Authorized Official Name and Position | Sharon L Wiener (PEDIATRICIAN) |
| Authorized Official Contact | 9726590404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Colinas Pediatric Association 4301 N. Mac Arthur Ste. 101 Irving TX 75038 Ph: (972) 659-0404 | Las Colinas Pediatric Association 4301 N Mac Arthur Ste. 101 Irving TX 75038 Ph: (972) 659-0404 |
| NPI Number | 1730366691 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730366691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G8509 (Texas) | Primary |
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