PRACTICAL PEDIATRICS is a specialist in Grapevine, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PRACTICAL PEDIATRICS NPI is 1639351505. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
811 IRA E WOODS AVE.
GRAPEVINE, TX
ZIP 76051-012
Phone: (817) 481-3585
Fax: (817) 421-6529
The provider's authorized official is Michael W Mccoy .
The authorized official title is Owner Pediatrican and has the following contact phone number (817) 481-3585.
The CLIA number assigned to this NPI record is 45D0712549 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/3/2007 and was last updated on 12/3/2007.