Provider Demographics
NPI:1285942920
Name:TOTS N TEENS CLINICS
Entity type:Organization
Organization Name:TOTS N TEENS CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABO KAYASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-717-9040
Mailing Address - Street 1:1650 REPUBLIC PARKWAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6920
Mailing Address - Country:US
Mailing Address - Phone:972-285-0838
Mailing Address - Fax:972-285-0848
Practice Address - Street 1:1650 REPUBLIC PARKWAY
Practice Address - Street 2:SUITE 120
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6920
Practice Address - Country:US
Practice Address - Phone:972-285-0838
Practice Address - Fax:972-285-0848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM97682080S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep MedicineGroup - Single Specialty