DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIDSVILLE PEDIATRICS MANSFIELD

MEDICARE: KIDSVILLE PEDIATRICS MANSFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0203XPediatric Critical Care Medicine Physician

General Provider Information

NPI Number : 1154262889
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDSVILLE PEDIATRICS MANSFIELD
Provider Business Mailing Address
First Line : 1759 BROAD PARK CIR S STE 205
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7834
Country : US
Telephone Number : 682-341-3910
Fax Number : 682-400-1288
Provider Business Practice Location Address
First Line : 1759 BROAD PARK CIR S STE 205
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7834
Country : US
Telephone Number : 682-341-3910
Fax Number : 682-400-1288
Authorized Official
Title or Position : MANAGER
Name : MR. OMAR ASHOUR
Credential : MD
Telephone Number : 682-232-4017
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

Similar Medicare Providers

1154844348 — PRYME FOOT & ANKLE CENTER PLLC
Practice Location Address:
1759 BROAD PARK CIR S #205
MANSFIELD, TX
76063-7834
Practice Phone: 682-223-2400
Practice Fax: 682-334-7061
1962143784 — HARSHITA KUMAR
Practice Location Address:
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX
76063-7834
Practice Phone: 682-341-3910
Practice Fax:
1740910280 — KATHRYNE LAURALEE RIVERO RN, ARPN, CPNP-PC
Practice Location Address:
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX
76063-7834
Practice Phone: 682-341-3910
Practice Fax: 682-400-1288
1619691953 — KATHERINE SUMMERLIN FNP-C
Practice Location Address:
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX
76063-7834
Practice Phone: 682-341-3910
Practice Fax:
1770326142 — DAVY KRANG
Practice Location Address:
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX
76063-7834
Practice Phone: 682-341-3910
Practice Fax:
1831905694 — ANJAE TARAY HOLDER
Practice Location Address:
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX
76063-7834
Practice Phone: 682-341-3910
Practice Fax:

Directions to “KIDSVILLE PEDIATRICS MANSFIELD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.