Pediplace

LBN: Pediplace
Pediplace is an health care organization with primary practice located at 502 S Old Orchard Ln Ste 126 , Lewisville TX 75067-4374. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is the primary health care specialty. Pediplace can be contacted via phone (972) 436-7962, or through Robins, Larry via phone (972) 436-7962.

Contact Information

Primary practice address
502 S Old Orchard Ln Ste 126 Lewisville TX 75067-4374
Phone: (972) 436-7962
Fax: (972) 353-5780
Website:
Map and Directions
Authorized official contact:
Name: Robins, Larry
Phone: (972) 436-7962

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1467573311
LBN Legal business name Pediplace
DBA Doing business as
Authorized official Robins, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 11th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467573311 NPPES
Texas MEDICAID 091930002
Texas MEDICAID 091930001

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