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NPI 1295932325

OrganizationActive

18 and Under MD, PA

NPI 1295932325 · Pediatrics Physician · Flower Mound, TX

Provider details

NPI number: 1295932325
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Authorized official: Jamie Johnson, Practice Administrator
License: L8145 (TX)

Practice location

3041 Churchill Dr

Suite 300

Flower Mound, TX 75022-2706

Phone: (972) 691-1240

Fax: (972) 691-2073

More TX providers

Mailing address

3041 Churchill Dr Ste 300

Flower Mound, TX 75022-5906

Registry dates

Enumerated: 2007-07-02
Last updated: 2026-04-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

18 and Under MD, PA — NPI 1295932325, Flower Mound, TX | NPI Central