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Forever Kids Pediatric Clinic
Primary Care Clinic/Center in Canton, Texas
NPI 1326435199

Forever Kids Pediatric Clinic is a Primary Care Clinic/Center based in Canton, TX and is specialized in Primary Care. Forever Kids Pediatric Clinic practices in Canton, TX. The NPI Number for Forever Kids Pediatric Clinic is 1326435199 and holds a License No. 754047 (Texas).

The current practice location address for Forever Kids Pediatric Clinic is 20783 Interstate 20 South Access Road, Canton, TX and can be reached out via phone at 214-773-5669 and via fax at 844-678-6258.

Location: 20783 Interstate 20 South Access Road, Canton, TX, 75103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326435199
Provider Name
Forever Kids Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
20783 Interstate 20 South Access Road, Canton, TX, 75103
Phone Number
214-773-5669
Fax Number
844-678-6258
Provider Enumeration Date
04/20/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1349815603 05 TX
1750646279 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
20783 Interstate 20 South Access Road
City
Canton
State
Texas
Zip
75103
Phone Number
214-773-5669
Fax Number
844-678-6258
person
Provider Business Mailing Address Details
Address
20783 Interstate 20 South Access Road
City
Canton
State
Texas
Zip
75103
Phone Number
214-773-5669
Fax Number
844-678-6258
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
754047 (Texas)
Definition
Definition to come...
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