Provider Demographics
NPI:1003863507
Name:NEWBORN PHYSICALS, LLC
Entity Type:Organization
Organization Name:NEWBORN PHYSICALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAPLACA
Authorized Official - Suffix:
Authorized Official - Credentials:NNP
Authorized Official - Phone:214-682-8368
Mailing Address - Street 1:449 PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-6055
Mailing Address - Country:US
Mailing Address - Phone:214-823-3768
Mailing Address - Fax:972-471-0710
Practice Address - Street 1:7 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7829
Practice Address - Country:US
Practice Address - Phone:972-888-7000
Practice Address - Fax:972-888-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty