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General NPI Number Information
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NPI Number | 1356544803
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HEALTH SYSTEM OF TEXAS
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1250 W MOCKINGBIRD LN STE 500
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City | DALLAS
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State | TX
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Zip | 75247-6934
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Country | US
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Telephone | 214-456-8800
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Fax | 214-456-8812
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Provider Business Mailing Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-8800
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Fax | 214-456-8812
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ROBERT S FRIES
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Credential |
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Telephone | 214-456-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0143
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License Number State | TX
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