Pgvpediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L7295 Issued in TX

Legal business name

PGVPEDIATRICS, PA

Practice address

3310 Live Oak St
Suite 201
Dallas, TX 75204-6153

Phone

(214) 823-2552

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Anuradha Agrawal, MD

Title

President

Phone

(214) 823-2552

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1447301379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 LIVE OAK ST",
            "address_2": "SUITE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046153",
            "telephone_number": "214-823-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 LIVE OAK ST",
            "address_2": "SUITE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046153",
            "telephone_number": "214-823-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGVPEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-823-2552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L7295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L7295",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Gilbert Pfister, M.D.
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• PGBH Assists, PLLC
• PGMB Surgical Assoiciates
• PH Ops of Dallas LLC
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• An Nhu Pham, M.D.
• Anh Quynh Pham
• Bao Lan Duc Pham, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.