Provider Demographics
NPI:1912461062
Name:PREFERRED PEDIATRICS PRIMARY CARE, PLLC
Entity type:Organization
Organization Name:PREFERRED PEDIATRICS PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPRAGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:972-318-0030
Mailing Address - Street 1:2700 VILLAGE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3286
Mailing Address - Country:US
Mailing Address - Phone:972-318-0030
Mailing Address - Fax:972-318-0033
Practice Address - Street 1:2700 VILLAGE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3286
Practice Address - Country:US
Practice Address - Phone:972-318-0030
Practice Address - Fax:972-318-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty