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MD PEDIATRIC ASSOCIATES
NPI 1013922731
Pediatrics in Coppell, TX

Active since July 30, 2006CLIA Certified · 2 labs
760 N DENTON TAP RD, SUITE 130, COPPELL, TX 75019(972) 420-1475(214) 222-2435 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Md Pediatric Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MD PEDIATRIC ASSOCIATES (NPI 1013922731) is a healthcare organization registered as a pediatrics in Coppell, Texas and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Mark W Holt, President, as its authorized official.

NPPES Registry Identity

NPI1013922731
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMD PEDIATRIC ASSOCIATES, P.A.
Location Address760 N DENTON TAP RD, SUITE 130Coppell, TX 75019-2163
Mailing AddressPo Box 2429Coppell, TX 75019-8429 · (972) 420-1475 · Fax (214) 222-2435
Phone(972) 420-1475
Fax(214) 222-2435
Organization SubpartNo
Authorized OfficialMark W HoltPresident · (972) 420-1475
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 17, 2012
✔ NPI 1013922731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
760 N DENTON TAP RD, Coppell, TX 75019
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Other Names 1

Other NameMd Pediatric Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1047661

MD Pediatric Associates - Coppell Laboratory · Coppell, TX
Active · expires Mar 17, 2028
CLIA Number45D1047661
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorLisa W. Shumate
Laboratory Phone(972) 420-1475
Laboratory LocationMD Pediatric Associates - Coppell Laboratory760 N Denton Tap Rd #120, Coppell, TX 75019
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1060047

MD Pediatric Associates Flower Mound Laboratory · Flower Mound, TX
Active · expires Feb 29, 2028
CLIA Number45D1060047
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorRalph J. Fitzgerald
Laboratory Phone(972) 420-1475
Laboratory LocationMD Pediatric Associates Flower Mound Laboratory2560 Central Park Avenue, Suite 195, Flower Mound, TX 75028
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BELINE MARIE BOYLE RN, MS, CPNP
Nurse Practitioner (Pediatrics)
760 N DENTON TAP RD, SUITE 130
COPPELL, TX 75019
Dallas County (972) 420-1475
DR. DARLETTA JOAN KINCAID M.D.
Pediatrics
760 N DENTON TAP RD, SUITE 130
COPPELL, TX 75019
Dallas County (972) 420-1475
DR. MARK WALKER HOLT M.D.
Pediatrics
760 N DENTON TAP RD, SUITE 130
COPPELL, TX 75019
Dallas County (972) 420-1475
MRS. NISHA S PATEL RDH
Dental Hygienist
760 N DENTON TAP RD, #190
COPPELL, TX 75019
Dallas County (972) 315-2200
MRS. KIM RENAE MOWERY RN, MS, CPNP
Nurse Practitioner (Pediatrics)
760 N DENTON TAP RD, SUITE 130
COPPELL, TX 75019
Dallas County (972) 420-1475
PRACHI DEORE P.A.
Dentist (General Practice)
760 N DENTON TAP RD, #190
COPPELL, TX 75019
Dallas County (972) 315-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is MD Pediatric Associates, P.A.'s NPI number?

The NPI number for MD Pediatric Associates, P.A. is 1013922731. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is also known as MD Pediatric Associates.

Where is MD Pediatric Associates, P.A. located?

MD Pediatric Associates, P.A. is located at 760 N Denton Tap Rd Suite 130, Coppell, TX 75019. The listed phone number is (972) 420-1475.

What is MD Pediatric Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does MD Pediatric Associates, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for MD Pediatric Associates, P.A. was last updated on February 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.