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

Shine Pediatrics and Wellness Center PA

Organization Pediatrics Physician · NPI 1609110832

Shine Pediatrics and Wellness Center PA is a Pediatrics Physician in Richardson, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2012
Specialties on file
4
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

3600 Shire Blvd Ste 110
Richardson, TX 75082-2240
Phone: (469) 333-1543
Fax: (877) 878-9118
Show map & directions

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

Additional practice locations (1)

  • 5009 Byers Ave, Fort Worth, TX 76107-3625 — (469) 333-1543

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatrics Physician Taxonomy 208000000X · Licence M0506 (TX)
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1609110832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Naidoo — President · (469) 939-6336
NPI enumeratedNovember 9, 2012
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address3600 Shire Blvd, Suite 110, Richardson, TX 75082-2240

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