PEDIATRICS CARE CLINIC NPI 1003006669

Pediatrics in Garland, TX

About PEDIATRICS CARE CLINIC

Pediatrics Care Clinic is a provider in Garland, TX. The NPI number assigned to this provider is 1003006669. The practitioner's primary taxonomy code is Pediatrics (208000000X). The provider is registered as an organization and their NPI record was last updated 9 years ago. Pediatrics Care Clinic operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003006669 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePEDIATRICS CARE CLINIC
Provider Location Address5506 BROADWAY BLVD GARLAND, TX 75043 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5506 BROADWAY BLVD GARLAND, TX 75043 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-30-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-29-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PEDIATRICS CARE CLINIC
5506 BROADWAY BLVD
GARLAND, TX
ZIP 75043
Phone: (972) 303-0240
Fax: (972) 303-4343
Get Directions

Mailing Address

PEDIATRICS CARE CLINIC
5506 BROADWAY BLVD
GARLAND, TX
ZIP 75043
Phone: (972) 303-0240
Fax: (972) 303-4343

Primary Taxonomy

Taxonomy Code208000000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.K2224
License StateTX
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameDR. LUBNA KAMAL M.D. PA Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleHEAD PHYSICIAN/OWNER
Authorized Official Phone(972) 303-2400

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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0049EBOTHER (01)TX
092381501MEDICAID (05)TX
093881502MEDICAID (05)TX

Map Location


PEDIATRICS CARE CLINIC address is 5506 BROADWAY BLVD GARLAND, TX 75043

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023048113DR. LUBNA SHAHID KAMAL M.D.
Individual
Pediatrics5506 BROADWAY BLVD
GARLAND, TX 75043
(972) 303-7070
1649658055MISS DENISE TIERNEY CPNP
Individual
Nurse Practitioner (Pediatrics)5506 BROADWAY BLVD
GARLAND, TX 75043
(972) 303-2400