Provider Demographics
NPI:1306616933
Name:HEALTHCARE FOR KIDS TX, LLC
Entity type:Organization
Organization Name:HEALTHCARE FOR KIDS TX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MONN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-657-9001
Mailing Address - Street 1:576 COLONIAL PARK DR STE 120
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3794
Mailing Address - Country:US
Mailing Address - Phone:678-977-2176
Mailing Address - Fax:
Practice Address - Street 1:1225 RUFE SNOW DRIVE
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248
Practice Address - Country:US
Practice Address - Phone:678-977-2176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE FOR KIDS TX, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care