Phoenix Pediatric Alliance, Pllc

NPI #1588112080 in Shenandoah, Texas

Provider Information

NPI Number: 1588112080
Entity Type: Organization
Organization Name: Phoenix Pediatric Alliance, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 150 PINE FOREST DR # 702
City: Shenandoah
State: Texas
ZIP Code: 77384-5302
Phone: (713) 955-2343

Authorized Official

Name: MANAF GHASSAN AHMAD, MD
Title: PHYSICIAN
Phone: (251) 767-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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