Provider Demographics
NPI:1164969960
Name:DALLAS KIDZ CHOICE PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:DALLAS KIDZ CHOICE PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:MERAS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:214-293-6216
Mailing Address - Street 1:610 E JEFFERSON BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-2750
Mailing Address - Country:US
Mailing Address - Phone:214-245-5405
Mailing Address - Fax:214-919-7185
Practice Address - Street 1:610 E JEFFERSON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203
Practice Address - Country:US
Practice Address - Phone:469-569-9983
Practice Address - Fax:214-919-7185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122282363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty