Plano Children's Medical Clinic

NPI #1205133287 in Wylie, Texas

Provider Information

NPI Number: 1205133287
Entity Type: Organization
Organization Name: Plano Children's Medical Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: PLANO CHILDREN'S MEDICAL CLINIC
Primary Specialty: Pediatrics
Enumeration Date: Feb 28, 2011
Last Updated: Feb 28, 2011

Practice Location

Address: 303 S HIGHWAY 78
Address 2: SUITE 106
City: Wylie
State: Texas
ZIP Code: 75098-3944
Phone: (972) 801-9689

Authorized Official

Name: SUSAN SHULER
Title: EXECUTIVE DIRECTOR
Phone: (972) 801-9689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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