MEDICARE: PHYSICIANS FOR CHILDREN

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	208000000X	Pediatrics Physician	H5767	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	472611	OTHER	TX	162.001(B) NONPROFIT ORG
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841371317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS FOR CHILDREN

Provider Business Mailing Address
First Line	:	PO BOX 844582
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4582
Country	:	US
Telephone Number	:	214-456-4550
Fax Number	:	214-456-4490

Provider Business Practice Location Address
First Line	:	2350 N STEMMONS FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-2700
Country	:	US
Telephone Number	:	469-488-7100
Fax Number	:	469-488-7101

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	LAURA CARR
Credential	:
Telephone Number	:	214-456-6715

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	10/06/2014

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MEDICARE: PHYSICIANS FOR CHILDREN

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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