Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Texas Pediatric Therapy

Organization Contractor · NPI 1740422575

East Texas Pediatric Therapy is a Contractor in Edgewood, Texas. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1738 Vzcr 3103
Edgewood, TX 75117-5020
Phone: (214) 336-2248
Fax: (972) 534-1881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1740422575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Gober — Owner/Pta · (214) 336-2248
NPI enumeratedMarch 25, 2009
Last updated in NPPESMarch 25, 2009
Mailing address1738 Vzcr 3103, Edgewood, TX 75117-5020