Old Town Pediatrics of Mesquite PA

NPI #1609165109 in Mesquite, Texas

Provider Information

NPI Number
1609165109
Entity Type
Organization
Organization Name
Old Town Pediatrics of Mesquite PA
Primary Specialty
Pediatrics - Adolescent Medicine
Enumeration Date
Apr 5, 2011
Last Updated
Apr 5, 2011

Practice Location

Address
502 W KEARNEY ST
Address 2
SUITE 700
State
Texas
ZIP Code
75149-3401
Phone
(972) 288-7337

Authorized Official

Name
DR. LAURA S STILES, D.O.
Title
PRESIDENT
Phone
(972) 288-7337

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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