Kidsville Pediatrics Pllc

NPI #1689264996 in Mansfield, Texas

Provider Information

NPI Number: 1689264996
Entity Type: Organization
Organization Name: Kidsville Pediatrics Pllc
Primary Specialty: Pediatrics - Pediatric Critical Care Medicine
Enumeration Date: Jan 20, 2021
Last Updated: Feb 22, 2023

Practice Location

Address: 1759 BROAD PARK CIR S
City: Mansfield
State: Texas
ZIP Code: 76063-7833
Phone: (682) 341-3888

Authorized Official

Name: TAREK SALMAN, MD
Title: MANAGER
Phone: (682) 341-3888

Specialties & Taxonomy Codes

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

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