Kidsville Pediatrics Southlake Pllc

NPI #1598639635 in Southlake, Texas

Provider Information

NPI Number: 1598639635
Entity Type: Organization
Organization Name: Kidsville Pediatrics Southlake Pllc
Primary Specialty: Pediatrics - Pediatric Critical Care Medicine
Enumeration Date: Oct 1, 2025
Last Updated: Oct 2, 2025

Practice Location

Address: 2813 W SOUTHLAKE BLVD STE 100
City: Southlake
State: Texas
ZIP Code: 76092-6832
Phone: (682) 345-8010

Authorized Official

Name: ALI SHAH
Title: EXECUTIVE MANAGER
Phone: (682) 345-8010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respiratory Therapist, Certified - Pulmonary Function Technologist — Pulmonary Function Technologist	2278P1006X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Physician Assistant	363A00000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Pediatrics	208000000X
Pediatrics - Pediatric Critical Care Medicine — Pediatric Critical Care Medicine	2080P0203X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. David P Margraf, MD	Pediatrics - Pediatric Critical Care Medicine	Southlake	AI Deep Dive
Sharon R Sandell, MD	Pediatrics - Pediatric Critical Care Medicine	Dallas	AI Deep Dive
Michele C Papo, MD	Pediatrics - Pediatric Critical Care Medicine	Dallas	AI Deep Dive
James R Matson, MD	Pediatrics - Pediatric Critical Care Medicine	Dallas	AI Deep Dive

Organizations

Provider Name	Specialty	City
Pediatric Acute Care Associates of North Texas, Pllc	Pediatrics - Pediatric Critical Care Medicine	Dallas	AI Deep Dive

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