Provider Demographics
NPI:1548349608
Name:PEDIATRIC HEALTHCARE ASSOCIATES, P.A.
Entity type:Organization
Organization Name:PEDIATRIC HEALTHCARE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:KESSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-548-7888
Mailing Address - Street 1:3701 ELDORADO PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4273
Mailing Address - Country:US
Mailing Address - Phone:972-548-7888
Mailing Address - Fax:972-562-0781
Practice Address - Street 1:3701 ELDORADO PKWY STE A
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4273
Practice Address - Country:US
Practice Address - Phone:972-548-7888
Practice Address - Fax:972-562-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U90MMedicare UPIN
TXI47933Medicare UPIN
TXH72391Medicare UPIN
TXI28751Medicare UPIN
TXA27498Medicare UPIN