Healthcare Provider Details

I. General information

NPI: 1073086690
Provider Name (Legal Business Name): ARGYLE PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2019
Last Update Date: 01/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 HIGHWAY 377 N STE H
ARGYLE TX
76226-3958
US

IV. Provider business mailing address

306 HIGHWAY 377 N STE H
ARGYLE TX
76226-3958
US

V. Phone/Fax

Practice location:
  • Phone: 469-405-6638
  • Fax: 940-240-5517
Mailing address:
  • Phone: 469-405-6638
  • Fax: 940-240-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD JONES
Title or Position: CFO
Credential: MBA
Phone: 469-405-6642