Unknown Individual – Pediatrics Physician, NPI 1710940754
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
401, West Centerville Road, Garland, Dallas County, Texas, 75041, United States
STE 1
GARLAND, TX 750415458
Phone: (972) 840-6500
Fax: (972) 840-6550
Type: Location
4210, Pecan Grove Lane, Rowlett, Dallas County, Texas, 75088, United States
ROWLETT, TX 750886198
Phone: (469) 951-0287
Fax: (972) 840-6550
Type: Mailing
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75041)
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