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

Northside Pediatrics, PLLC

Organization Pediatrics Physician · NPI 1629784194

Northside Pediatrics, PLLC is a Pediatrics Physician in Plano, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Jupiter Rd # 940683
Plano, TX 75074-7017
Phone: (682) 305-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1629784194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaeon Abraham — Manager · (214) 674-9189
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 26, 2023
Mailing address317 W Muirfield Rd, Garland, TX 75044-4233

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