PEDIATRICS CARE CLINIC NPI 1003006669
Pediatrics in Garland, TX
About PEDIATRICS CARE CLINIC
Pediatrics Care Clinic is a pediatrician established in Garland, Texas specializing in pediatrics. The NPI number of Pediatrics Care Clinic is 1003006669 and was assigned on July 2007. The practitioner's primary taxonomy code is 208000000X with license number K2224 (TX). The provider is registered as an organization and their NPI record was last updated 14 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. The authorized official of this NPI record is Dr. Lubna Kamal M.d. Pa (Head Physician/owner)
A pediatrician like Pediatrics Care Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
The CLIA number of Pediatrics Care Clinic is 45D0968949 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Pediatrics Care Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
| NPI | 1003006669 |
| Provider Name | PEDIATRICS CARE CLINIC |
| Provider Location Address | 5506 BROADWAY BLVD GARLAND, TX 75043 |
| Provider Mailing Address | 5506 BROADWAY BLVD GARLAND, TX 75043 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 07-30-2007 |
| Last Update Date | 05-29-2008 |
Primary Taxonomy
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | K2224 |
| License State | TX |
| Taxonomy Description | 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. |
Business Address
PEDIATRICS CARE CLINIC
5506 BROADWAY BLVD
GARLAND, TX
ZIP 75043
Phone: (972) 303-0240
Fax: (972) 303-4343
Mailing Address
PEDIATRICS CARE CLINIC
5506 BROADWAY BLVD
GARLAND, TX
ZIP 75043
Phone: (972) 303-0240
Fax: (972) 303-4343
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003006669 is:
| CLIA Number | 45D0968949 |
| Facility Type | PHYSICIAN OFFICE |
| Certificate Type | Certificate of Waiver |
Group Taxonomy
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 |
|---|---|---|
| 0049EB | OTHER (01) | TX |
| 092381501 | MEDICAID (05) | TX |
| 093881502 | MEDICAID (05) | TX |
Other Providers at the same location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023048113 | DR. LUBNA SHAHID KAMAL M.D. Individual | Pediatrics | 5506 BROADWAY BLVD GARLAND, TX 75043 (972) 303-7070 |
| 1649658055 | MISS DENISE TIERNEY CPNP Individual | Nurse Practitioner (Pediatrics) | 5506 BROADWAY BLVD GARLAND, TX 75043 (972) 303-2400 |
| 1356973655 | BEYOND CARE PEDIATRICS, PLLC Organization | Pediatrics | 5506 BROADWAY BLVD GARLAND, TX 75043 (972) 303-2400 |
| 1346724655 | KATHLEEN VICK KIM NP Individual | Nurse Practitioner (Pediatrics) | 5506 BROADWAY BLVD GARLAND, TX 75043 (972) 303-2400 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.