Magnolia Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAGNOLIA PEDIATRICS

Doing business as

All Star Pediatrics

Practice address

2875 Main St. Suite 104
Frisco, TX 75034

Phone

(214) 872-1877

Fax

(214) 872-3114

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandy Nicole Welch, MDNPI 1528057544

Title

Physician/Owner

Phone

(208) 830-1632

Specialties & licenses 1

Addresses

Other names 1

• All Star Pediatrics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandy N Welch, MD

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1528057544
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1215581780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HOWELL ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "208-830-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 MAIN ST. SUITE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "214-872-1877",
            "fax_number": "214-872-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "208-830-1632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Star Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Exalander Samuel Magallan III, MS, LAT, ATC
• Rhea Paige Magee, OD
• Magellan Provider Services, P.a.
• Maggie Tran OD PLLC (Illume eyecare)
• Magnolia Dermatology of Frisco PLLC
• Meredith L Magruder, LPC
• Ryan Thomas Mahady
• Mahaffey JL Enterprises, Inc. (Homewatch CareGivers of Collin County)
• Neelu Mahajan, PA - C
• Shakeela Mahdi, NRCPT

• Pediatrics Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.