Jupiter Medical Services, PA

NPI #1194018705 in Dallas, Texas

Provider Information

NPI Number: 1194018705
Entity Type: Organization
Organization Name: Jupiter Medical Services, PA
Primary Specialty: Pediatrics
Enumeration Date: May 16, 2011
Last Updated: May 16, 2011

Practice Location

Address: 3453 SAINT FRANCIS AVE
Address 2: SUITE 100
City: Dallas
State: Texas
ZIP Code: 75228-7199
Phone: (214) 660-1833

Authorized Official

Name: PRAKASH MALVIYA, MD
Title: MEMBER
Phone: (214) 660-1833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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