Healthcare Provider Details

I. General information

NPI: 1407323751
Provider Name (Legal Business Name): HEALTH FOR KIDS PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 SCRIPTURE ST STE 101
DENTON TX
76201-2314
US

IV. Provider business mailing address

PO BOX 80091
KELLER TX
76244-2901
US

V. Phone/Fax

Practice location:
  • Phone: 502-380-7831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ABDIER DELGADO GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 502-380-7831