Provider Demographics
NPI:1942068077
Name:DINO PEDIATRICS PLLC
Entity Type:Organization
Organization Name:DINO PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PEDIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:L,
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, CPNP-PC
Authorized Official - Phone:817-675-5891
Mailing Address - Street 1:2450 COUNTY ROAD 2027
Mailing Address - Street 2:
Mailing Address - City:GLEN ROSE
Mailing Address - State:TX
Mailing Address - Zip Code:76043-1360
Mailing Address - Country:US
Mailing Address - Phone:817-675-5891
Mailing Address - Fax:
Practice Address - Street 1:1613 NE BIG BEND TRL STE C
Practice Address - Street 2:
Practice Address - City:GLEN ROSE
Practice Address - State:TX
Practice Address - Zip Code:76043-5036
Practice Address - Country:US
Practice Address - Phone:254-635-6236
Practice Address - Fax:740-212-8735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care