DR. LEILANI SO WILTZ


Address: 3 Abbotsford Court, Dallas, TX 75225
Phone: 2027160838

DR. LEILANI SO WILTZ (NPI# 1285017343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285017343
Entity Type Individual
Full Name DR. LEILANI SO WILTZ
Credential M.D.
Practice Address 3 Abbotsford Court
Dallas
TX 75225
Practice Telephone 2027160838
Enumeration Date 2015-07-07
Last Update Date 2015-07-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
F7664 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 3 ABBOTSFORD COURT
City DALLAS
State TX
Zip Code 75225

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Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386059087 Asha Tharayil Pediatrics 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-4637 2014-06-23
1639445943 Jeannette You-jin Dodson Pediatrics 1935 Medical District Dr, Graduate Medical Education, Dallas, TX 75235 2012-03-30
1881960805 Charles G. Knox Pediatrics 7777 Forest Ln, Dallas, TX 75230 2012-03-23
1902194723 Faisalmohemed Patel Pediatrics 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 2011-07-13
1205128485 Ngoc Le Van Horn Pediatrics 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 2011-05-06
1063717551 Jennifer Shuler Deramo Pediatrics 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 2011-01-14
1285959205 Elaine Chiu Walters Pediatrics 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2010-04-01
1518281054 Kevin Joseph Barnes Pediatrics 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75390-7201 2010-03-25
1821312794 Victoria Scott Yang Pediatrics 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2010-03-22
1528244233 Jendi Lyn Haug Pediatrics 5323 Harry Hines Blvd., Dallas, TX 75390-7208 2008-01-11
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City DALLAS
Zip Code 75225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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