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Kidsville Pediatrics Southlake Pllc

Pediatric Critical Care Medicine Physician in Southlake, TX · enumerated 2025 · authorized official Ali Shah, Executive Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598639635

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Registry record

Entity type Organization (Type 2)
Legal business name Kidsville Pediatrics Southlake Pllc
Practice address 2813 W Southlake Blvd Ste 100, Southlake, TX, 76092
Phone (682) 345-8010
Enumeration date Oct 1, 2025
Last updated in NPPES Oct 2, 2025

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2080P0203X Pediatric Critical Care Medicine Physician Allopathic & Osteopathic Physicians Primary
2278P1006X Pulmonary Function Technologist Certified Respiratory Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Ali Shah
Title Executive Manager
Phone (682) 345-8010

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-02. Verify at npiregistry.cms.hhs.gov.
Where is Kidsville Pediatrics Southlake Pllc located?
The practice location on file with NPPES is in Southlake, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-02.