MEDICARE: B PEDIATRICS PLLC

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
1	363LF0000X	Family Nurse Practitioner
2	208000000X	Pediatrics Physician	P1266	TX

General Provider Information

NPI Number	:	1285908335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B PEDIATRICS PLLC

Provider Business Mailing Address
First Line	:	4503 TEXAS BLVD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-3026
Country	:	US
Telephone Number	:	903-792-4003
Fax Number	:	903-794-6743

Provider Business Practice Location Address
First Line	:	4503 TEXAS BLVD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-3026
Country	:	US
Telephone Number	:	903-792-4003
Fax Number	:	903-794-6743

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	AMANDA STRICKLAND
Credential	:
Telephone Number	:	903-792-4003

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	01/09/2026

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