Provider Demographics
NPI:1851877351
Name:PREFERRED PEDIATRICS URGENT CARE FOR KIDS PLLC
Entity Type:Organization
Organization Name:PREFERRED PEDIATRICS URGENT CARE FOR KIDS PLLC
Other - Org Name:PREFERRED PEDIATRICS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPRAGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:214-796-8535
Mailing Address - Street 1:112 ELLIS SPRING DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76085-1637
Mailing Address - Country:US
Mailing Address - Phone:972-318-0030
Mailing Address - Fax:972-318-0033
Practice Address - Street 1:2540 FM 407 STE 187
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3175
Practice Address - Country:US
Practice Address - Phone:214-796-8535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care