Fairway Pediatrics, Pllc
NPI #1821340472 in Carrollton, Texas
Provider Information
- NPI Number
- 1821340472
- Entity Type
- Organization
- Organization Name
- Fairway Pediatrics, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 6, 2012
- Last Updated
- Jan 7, 2013
Practice Location
- Address
- 4100 FAIRWAY DR
- Address 2
- SUITE 300
- City
- Carrollton
- State
- Texas
- ZIP Code
- 75010-6525
- Phone
- (972) 492-8880
Authorized Official
- Name
- JIAN WANG, MD
- Title
- OWNER
- Phone
- (469) 855-2073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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