An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (TX)
K6379
STAE MEDICAL LICENSE
01
E01008299
DPS NUMBER
05 (TX)
179181601
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
KidsCorner Pediatrics
Type code 3recorded 2023-06-16
KidsCorner Pediatrics
Type code 3recorded 2007-05-02
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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