Pediaq Texas Llc

LBN: Pediaq Texas Llc
Pediaq Texas Llc is an health care organization with primary practice located at 17101 Preston Rd Ste 115, Dallas TX 75248-1331. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is the primary health care specialty. Pediaq Texas Llc can be contacted via phone (214) 984-3900, or through Osullivan, Jon via phone 21498439000.

Contact Information

Primary practice address
17101 Preston Rd Ste 115 Dallas TX 75248-1331
Phone: (214) 984-3900
Fax: (972) 294-3343
Website:
Map and Directions
Authorized official contact:
Name: Osullivan, Jon
Phone: 21498439000

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 226944 Texas

Profile Details

NPI number 1326415779
LBN Legal business name Pediaq Texas Llc
DBA Doing business as
Authorized official Osullivan, Jon
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2015
Last updated Sep 1st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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