Provider Demographics
NPI:1942370747
Name:A TO Z PEDIATRICS PLLC
Entity Type:Organization
Organization Name:A TO Z PEDIATRICS PLLC
Other - Org Name:A TO Z PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ACHALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLEPOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-691-0505
Mailing Address - Street 1:1901 LONG PRAIRIE RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4220
Mailing Address - Country:US
Mailing Address - Phone:972-691-0505
Mailing Address - Fax:972-691-0520
Practice Address - Street 1:1901 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 116
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4220
Practice Address - Country:US
Practice Address - Phone:972-691-0505
Practice Address - Fax:972-691-0520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty