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Export Provider Record NPI 1043788201
Dsw Pediatrics & Children And Youth Clinic
Organization Subpart: NO
Active
NPI Number1043788201
NPI TypeNPI-2 Organization
SpecialtyPediatrics
Provider Details
NPI1043788201
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2018-11-06
Last Updated2023-07-20
Authorized OfficialJoseph Rodriguez
Office Manager
Phone: 9722981878
Mailing Address2727 Bolton Boone Dr Ste 111
Desoto, TX 75115-2019
United States
Phone: (972) 298-1878 | Fax: (972) 298-1952
📍 View Map
Primary Practice Address2727 Bolton Boone Dr Ste 111
Desoto, TX 75115-2019
United States
Phone: (972) 298-1878 | Fax: (972) 298-1952
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – Pediatrics
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About NPI 1043788201

Dsw Pediatrics & Children And Youth Clinic is an organization registered in the CMS NPPES NPI Registry with NPI number 1043788201. The primary specialty listed is Pediatrics. The organization is located in Desoto, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-11-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043788201?

NPI 1043788201 belongs to Dsw Pediatrics & Children And Youth Clinic, a Pediatrics in Desoto, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043788201 active?

The current status of NPI 1043788201 in the NPPES registry is Active. The record was last updated on 2023-07-20.

What specialty is NPI 1043788201?

NPI 1043788201 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043788201?

You can verify NPI 1043788201 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043788201?

The primary practice address on file for NPI 1043788201 is 2727 Bolton Boone Dr Ste 111, Desoto, TX 75115-2019. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043788201 issued?

NPI 1043788201 was first issued (enumerated) on 2018-11-06. The NPPES record was last updated on 2023-07-20.

Practice Location Map

Dsw Pediatrics & Children And Youth Clinic is located at 2727 Bolton Boone Dr Ste 111, Desoto, TX. Use the map below to find directions or verify the practice location.

📍 2727 Bolton Boone Dr Ste 111, Desoto, TX 75115-2019  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Dsw Pediatrics & Children And Youth Clinic. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162