Forever Kids Pediatric Clinic
Forever Kids Pediatric Clinic is a Clinic/Center in Canton, Texas. Licensed in Texas. Registered with an NPI since 2015.
- Licensed in
- TX
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
20783 Interstate 20 South Access RdCanton, TX 75103
Phone: (214) 773-5669
Fax: (844) 678-6258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 754047 (TX) |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1326435199 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lacy Burkes — Pediatric Nurse Practitioner · (214) 773-5669 |
| NPI enumerated | April 20, 2015 |
| Last updated in NPPES | January 26, 2023 |
| Certification date | January 24, 2023 |
| Mailing address | 20783 Interstate 20 South Access Road, Canton, TX 75103 |
Other providers in Canton
-
Scoliosis Center of East Texas, Inc
921 W Dallas St, Canton, TX 75103-1009 · (903) 567-5579