Provider Demographics
NPI:1710933643
Name:COLLIN KIDS PEDIATRICS
Entity Type:Organization
Organization Name:COLLIN KIDS PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:MASOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-592-0356
Mailing Address - Street 1:4510 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1650
Mailing Address - Country:US
Mailing Address - Phone:214-592-0356
Mailing Address - Fax:
Practice Address - Street 1:4510 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 209
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1650
Practice Address - Country:US
Practice Address - Phone:214-592-0356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9795208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6565808Medicaid
0-425-814-1OtherECFMG
TXM9795OtherSTATE LICENSE NO.
NJDO66647OtherCDS
TX195191501OtherTPI
TX195191501OtherTPI
0-425-814-1OtherECFMG
NJAL788683Medicare ID - Type Unspecified