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Contact Information

WISE PEDIATRICS PA
609 MEDICAL CENTER DRIVE
STE 2300
DECATUR, TX76234
 Phone: 940-627-4400
 Fax: 940-626-4411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WISE PEDIATRICS PA

NPI Number 1326083452
LBN Legal business name WISE PEDIATRICS PA
Authorized official LESLIE HOLLIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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