Provider Demographics
NPI:1619256716
Name:NORTH TEXAS VILLAGE HEALTH PARTNERS, PA
Entity Type:Organization
Organization Name:NORTH TEXAS VILLAGE HEALTH PARTNERS, PA
Other - Org Name:VILLAGE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-599-9600
Mailing Address - Street 1:5425 W SPRING CREEK PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4237
Mailing Address - Country:US
Mailing Address - Phone:972-801-2144
Mailing Address - Fax:972-599-9696
Practice Address - Street 1:5425 W SPRING CREEK PKWY
Practice Address - Street 2:STE 175
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4237
Practice Address - Country:US
Practice Address - Phone:972-801-2144
Practice Address - Fax:972-599-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty