NPI:
1104220573
Provider Name:
CAVALIER JOY & CROWN PEDIATRIC SPECIALISTS, PLLC
Doing Business As: JOY & CROWN PEDIATRIC SPECIALISTS, PLLC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
CLIA Number: 45D2092890
Address:
7002 LEBANON RD
SUITE 103
FRISCO, TX
ZIP 75034
Phone:
(469) 213-7633
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CAVALIER JOY & CROWN PEDIATRIC SPECIALISTS, PLLC is a primary care clinic center in Frisco, TX. CAVALIER JOY & CROWN PEDIATRIC SPECIALISTS, PLLC NPI is 1104220573. The provider is registered as an organization entity type.
The provider Is Doing Business As Joy & Crown Pediatric Specialists, Pllc.
The provider's business location address is:
7002 LEBANON RD
SUITE 103
FRISCO, TX
ZIP 75034-461
Phone: (469) 213-7633
Fax: (469) 535-3664
The provider's authorized official is Maryellen Cavalier .
The authorized official title is Owner and has the following contact phone number (469) 213-7634.
The CLIA number assigned to this NPI record is 45D2092890 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/14/2014 and was last updated on 12/26/2014.