National Provider Identifier Database

PEDIATRIC ASSOCIATES OF WYLIE PA
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

PEDIATRIC ASSOCIATES OF WYLIE, P.A.
501 WOODBRIDGE PARKWAY
WYLIE, TX75098
Phone: 972-442-2300
Fax: 972-442-2180
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC ASSOCIATES OF WYLIE, P.A.

NPI Number 1215068309
Legal business name
LBN
PEDIATRIC ASSOCIATES OF WYLIE, P.A.
Authorized official RUTH STROTHER - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/08/2007
Last updated 02/28/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 174061501
  • TX Medicaid: 174061502
  • TX Other: 0066MS BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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