Healthcare Provider Details

I. General information

NPI: 1568698496
Provider Name (Legal Business Name): ERIC FRANCISCO PANDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 S COOPER ST
ARLINGTON TX
76010-4105
US

IV. Provider business mailing address

PO BOX 733784
DALLAS TX
75373-3784
US

V. Phone/Fax

Practice location:
  • Phone: 817-804-1100
  • Fax: 817-299-8790
Mailing address:
  • Phone: 682-885-1855
  • Fax: 682-885-1396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP4363
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: