| Organization Name: | PEDIATRIC ENDOCRINOLOGY OF NORTH TEXAS, PLLC |
| NPI Number: | 1003238056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY MATHEW BURTON (OWNER) |
| Mailing Address: | 6124 W Parker Rd Medical Office Building 3, Suite #330 Plano |
| State: | TX US |
| Postal Code: | 750938122 |
| Phone Number: | 9406004861 |
| Fax Number: | 9406004866 |
| NPI Enumeration Date: | 01/10/2014 |
| NPI Last Update Date: | 12/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM2500X |
| License Number: | N7403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Medical Specialty |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |