Provider Demographics
NPI:1487032710
Name:CBP PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:CBP PEDIATRICS, PLLC
Other - Org Name:NITEHAWK PEDIATRIC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEYUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SATHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-922-3391
Mailing Address - Street 1:4300 SIGMA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4422
Mailing Address - Country:US
Mailing Address - Phone:972-922-3391
Mailing Address - Fax:972-692-6606
Practice Address - Street 1:2640 W FM 544 STE 300
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4938
Practice Address - Country:US
Practice Address - Phone:972-442-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care