Provider Demographics
NPI:1588537278
Name:PURELY PEDIATRIC WELLNESS PLLC
Entity type:Organization
Organization Name:PURELY PEDIATRIC WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PEDIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:ASHTON
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, CPNP-PC
Authorized Official - Phone:903-880-7707
Mailing Address - Street 1:10670 N CENTRAL EXPY STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2105
Mailing Address - Country:US
Mailing Address - Phone:214-250-3858
Mailing Address - Fax:866-728-9963
Practice Address - Street 1:10670 N CENTRAL EXPY STE 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2105
Practice Address - Country:US
Practice Address - Phone:214-250-3858
Practice Address - Fax:866-728-9963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care