Old Town Pediatrics of Mesquite PA

NPI #1164775391 in Mesquite, Texas

Provider Information

NPI Number
1164775391
Entity Type
Organization
Organization Name
Old Town Pediatrics of Mesquite PA
Primary Specialty
Pediatrics - Adolescent Medicine
Enumeration Date
Oct 25, 2012
Last Updated
Jan 25, 2013

Practice Location

Address
502 W KEARNEY ST
Address 2
#700
State
Texas
ZIP Code
75149-3401
Phone
(972) 288-7337

Authorized Official

Name
LAURA STILES, D.O.
Title
OWNER
Phone
(214) 454-9452

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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