Bumps N' Bruises Pediatric Urgent Care Center

NPI #1528316551 in Mansfield, Texas

Provider Information

NPI Number: 1528316551
Entity Type: Organization
Organization Name: Bumps N' Bruises Pediatric Urgent Care Center
Primary Specialty: Pediatrics
Enumeration Date: Aug 23, 2012
Last Updated: Aug 23, 2012

Practice Location

Address: 2251 MATLOCK RD
City: Mansfield
State: Texas
ZIP Code: 76063-3825
Phone: (330) 495-6359

Authorized Official

Name: EMMA HOLTON
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (804) 643-2287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Nurse Practitioner - Acute Care — Acute Care	363LA2100X
Physician Assistant	363A00000X
Pediatrics	208000000X	Primary

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