Shine Pediatrics And Wellness Center P.A.

LBN: Shine Pediatrics And Wellness Center P.A.
Shine Pediatrics And Wellness Center P.A. is an health care organization with primary practice located at 3600 Shire Blvd Suite 110, Richardson TX 75082-2240. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Shine Pediatrics And Wellness Center P.A. can be contacted via phone (469) 333-1543, or through Naidoo, Randy via phone (469) 939-6336.

Contact Information

Primary practice address
3600 Shire Blvd Suite 110 Richardson TX 75082-2240
Phone: (469) 333-1543
Fax: (877) 878-9118
Website:
Map and Directions
Authorized official contact:
Name: Naidoo, Randy Doctor of Medicine (MD)
Phone: (469) 939-6336

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M0506 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1609110832
LBN Legal business name Shine Pediatrics And Wellness Center P.A.
DBA Doing business as
Authorized official Naidoo, Randy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2012
Last updated Aug 10th, 2021 - about 3 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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