OrganizationActive
Forever Kids Pediatric Clinic
NPI 1326435199 · Clinic/Center · Canton, TX
Provider details
- NPI number
- 1326435199
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lacy Burkes, Pediatric Nurse Practitioner(214) 773-5669
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
20783 Interstate 20 South Access Road
Canton, TX 75103
Phone: (214) 773-5669
Fax: (844) 678-6258
Approximate (ZIP-level) locationGet directions
Mailing address
20783 Interstate 20 South Access Road
Canton, TX 75103
Registry dates
- Enumerated
- 2015-04-20
- Last updated
- 2023-01-26
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.