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OrganizationMedicare enrolled

Prairie Associates PA

Pediatrics · Dallas, TX

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000001056
Enumeration date
2026-02-02
Last updated
2026-10-02
Practice location
7148 Elm St
Dallas, TX 75201
Mailing address
PO Box 3267
Dallas, TX 75201
Taxonomies
Medicare
Enrolled