Provider Demographics
NPI:1598447021
Name:INSTANT PEDIATRIC MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:INSTANT PEDIATRIC MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-493-1964
Mailing Address - Street 1:3600 NORTHSTAR RD STE 140
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-5309
Mailing Address - Country:US
Mailing Address - Phone:469-493-1964
Mailing Address - Fax:
Practice Address - Street 1:3600 NORTHSTAR RD STE 140
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-5309
Practice Address - Country:US
Practice Address - Phone:469-493-1964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care