Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Greenville Children's Clinic, PA

Organization Pediatrics Physician · NPI 1265653109

Greenville Children's Clinic, PA provides Pediatrics Physician services in Greenville, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4211 Joe Ramsey Blvd E Ste 213
Greenville, TX 75401-7857
Phone: (903) 408-7940
Fax: (903) 408-7941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence J2568 (TX)

Record details

NPI number1265653109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fry — President · (903) 408-7940
NPI enumeratedMay 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4211 Joe Ramsey Blvd E Ste 213, Greenville, TX 75401-7857

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