Pedicare Childrens Clinic PA

NPI #1255862074 in Midland, Texas

Provider Information

NPI Number: 1255862074
Entity Type: Organization
Organization Name: Pedicare Childrens Clinic PA
Primary Specialty: Pediatrics
Enumeration Date: Mar 23, 2017
Last Updated: Feb 10, 2022

Practice Location

Address: 2101 N MIDLAND DR STE 14A
City: Midland
State: Texas
ZIP Code: 79707-5507
Phone: (432) 695-6300

Authorized Official

Name: KINGSLEY OKONKWO, MD
Title: PRESIDENT
Phone: (361) 334-0613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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