Dallas Physician Medical Services For Children Inc

(Children'S Health Medical Group)

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Dallas, TX 75235-7701

PECOS Enrollment

Based on the most recent information from CMS, provider Dallas Physician Medical Services For Children Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:37 AM.

Profile Details

Provider ID
1194153650
Provider Type
Organization
Full Name
Dallas Physician Medical Services For Children Inc
Other Name
Children'S Health Medical Group

Subpart
No
Enumeration Date
10/21/2013
Last Updated
8/3/2023

Contact Information

Practice Location

1935 Medical District Dr, Dallas, TX 75235-7701

(214) 456-7000

Unlisted Fax

Mailing Location

1935 Medical District Dr, Dallas, TX 75235-7701

(214) 456-7000

Unlisted Fax

Authorized Official

Melton, Adam (Svp Physician Organization)

(214) 456-0039

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 1223X0400X	Description Dentist Dental Providers	License Unlisted Issuer
Code 207K00000X	Description Allergy & Immunology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207LH0002X	Description Anesthesiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207LP2900X	Description Anesthesiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207X00000X	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207XX0005X	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2080P0202X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2080P0214X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084N0402X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208VP0014X	Description Pain Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 554199	Description Other	Issuer MEDICARE Texas
ID 393968	Description Other	Issuer MEDICARE Texas
ID 404548	Description Other	Issuer MEDICARE Texas

Dallas Physician Medical Services For Children Inc

(Children'S Health Medical Group)

PECOS Enrollment

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