Internal Medicine and Pediatrics
NPI #1851589279 in Richardson, Texas
Provider Information
- NPI Number
- 1851589279
- Entity Type
- Organization
- Organization Name
- Internal Medicine and Pediatrics
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 10, 2007
- Last Updated
- Oct 10, 2007
Practice Location
- Address
- 2821 GEORGE BUSH HWY
- Address 2
- 501
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-4266
- Phone
- (214) 239-1053
Authorized Official
- Name
- MRS. LESLIE WISTL
- Title
- OFFICE MANAGER
- Phone
- (214) 239-1053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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