Provider Demographics
NPI:1144749532
Name:ENTIRELY KIDS PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:ENTIRELY KIDS PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-425-3600
Mailing Address - Street 1:5575 WARREN PKWY STE 116
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4092
Mailing Address - Country:US
Mailing Address - Phone:469-425-3600
Mailing Address - Fax:469-425-3599
Practice Address - Street 1:5575 WARREN PKWY STE 116
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4092
Practice Address - Country:US
Practice Address - Phone:469-425-3600
Practice Address - Fax:469-425-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty