Healthcare Provider Details

I. General information

NPI: 1881008936
Provider Name (Legal Business Name): KIDABILITY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4129 WASKOM DR
PLANO TX
75024-7079
US

IV. Provider business mailing address

9720 COIT RD STE 220
PLANO TX
75025-5847
US

V. Phone/Fax

Practice location:
  • Phone: 972-905-3413
  • Fax:
Mailing address:
  • Phone: 972-905-3413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RASHI J PATEL
Title or Position: PRESIDENT
Credential: PT, OTR
Phone: 972-905-3413