Provider Demographics
NPI:1275906356
Name:COMPREHENSIVE PEDIATRIC CARE
Entity Type:Organization
Organization Name:COMPREHENSIVE PEDIATRIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEENU
Authorized Official - Middle Name:M
Authorized Official - Last Name:JINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:585-880-0414
Mailing Address - Street 1:6044 E LOVERS LN
Mailing Address - Street 2:#8107
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-4371
Mailing Address - Country:US
Mailing Address - Phone:585-880-0414
Mailing Address - Fax:
Practice Address - Street 1:2379 GUS THOMASSON RD
Practice Address - Street 2:#200
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5302
Practice Address - Country:US
Practice Address - Phone:585-880-0414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2566208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty