NPI 1568657658

Childgrove Pediatrics

Organisation Legal Medicine Coppell, TX

Practice location

Address: 150 S Denton Tap Rd STE 116, Coppell, TX 75019-3323
Phone: (972) 304-0091
Fax: (972) 393-0959

Authorised official

Name: Sharon Babcock
Title: Office Manager
Phone: (972) 304-0091

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence J2379 (TX)

Other Legal Medicine providers in Texas →

Registry record

NPI: 1568657658
Entity type: Organization
NPI issued: 11 Sep 2007
Record last updated: 11 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.