Provider Demographics
NPI:1033202031
Name:ALL ABOUT CHILDREN PEDIATRICS, P.A.
Entity Type:Organization
Organization Name:ALL ABOUT CHILDREN PEDIATRICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-542-1444
Mailing Address - Street 1:2251 ELDORADO PKWY
Mailing Address - Street 2:SUITE #100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4358
Mailing Address - Country:US
Mailing Address - Phone:972-542-1444
Mailing Address - Fax:972-542-6967
Practice Address - Street 1:2251 ELDORADO PKWY
Practice Address - Street 2:SUITE #100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4358
Practice Address - Country:US
Practice Address - Phone:972-542-1444
Practice Address - Fax:972-542-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4643208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID NUMBER