Practical Pediatrics

NPI #1639351505 in Grapevine, Texas

Provider Information

NPI Number: 1639351505
Entity Type: Organization
Organization Name: Practical Pediatrics
Primary Specialty: Specialist
Enumeration Date: Dec 3, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 811 IRA E WOODS AVE.
City: Grapevine
State: Texas
ZIP Code: 76051-4012
Phone: (817) 481-3585

Authorized Official

Name: DR. MICHAEL W MCCOY, M.D.
Title: OWNER PEDIATRICAN
Phone: (817) 481-3585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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