Unknown Individual – Pediatrics Physician, NPI 1255425864
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Domino's, 502, South Old Orchard Lane, Lewisville, Denton County, Texas, 75067, United States
SUITE 126
LEWISVILLE, TX 750674370
Phone: (972) 436-7962
Fax: (972) 353-5780
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75067)
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