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NPI Code Detail

MEDICARE: PRESTON WOOD PEDIATRICS, LLC

MEDICARE: PRESTON WOOD PEDIATRICS, LLC
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
1251S00000XCommunity/Behavioral Health Agency
2251E00000XHome Health AgencyTX
3251E00000XHome Health Agency015866TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891136990
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESTON WOOD PEDIATRICS, LLC
Provider Business Mailing Address
First Line : 6539 TREETOP LN
Second Line :
City : DALLAS
State : TX
Zip : 75241-6613
Country : US
Telephone Number : 972-349-1313
Fax Number : 972-996-5231
Provider Business Practice Location Address
First Line : 6539 TREETOP LN
Second Line :
City : DALLAS
State : TX
Zip : 75241-6613
Country : US
Telephone Number : 972-349-1313
Fax Number : 972-996-5231
Authorized Official
Title or Position : ADMINISTRATOR
Name : WURNEICE W CUINGTON
Credential :
Telephone Number : 972-349-1313
Provider Enumeration Date : 07/17/2013
Last Update Date : 04/30/2026

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