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

Greenville Children's Clinic, PA

Organization Pediatrics Physician · NPI 1265653109

Greenville Children's Clinic, PA is a Pediatrics Physician in Greenville, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4211 Joe Ramsey Blvd E Ste 213
Greenville, TX 75401-7857
Phone: (903) 408-7940
Fax: (903) 408-7941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence J2568 (TX)

Record details

NPI number1265653109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fry — President · (903) 408-7940
NPI enumeratedMay 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4211 Joe Ramsey Blvd E Ste 213, Greenville, TX 75401-7857

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