Provider Demographics
NPI:1275215014
Name:TOTS N TEENS PEDIATRICS
Entity Type:Organization
Organization Name:TOTS N TEENS PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:ABO
Authorized Official - Last Name:KAYASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-717-9040
Mailing Address - Street 1:1650 REPUBLIC PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6920
Mailing Address - Country:US
Mailing Address - Phone:214-717-9040
Mailing Address - Fax:972-526-5892
Practice Address - Street 1:1650 REPUBLIC PKWY STE 120
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6920
Practice Address - Country:US
Practice Address - Phone:214-717-9040
Practice Address - Fax:972-526-5892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep MedicineGroup - Multi-Specialty