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GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC
NPI 1952368664
Pediatrics in Oklahoma City, OK

Active since April 27, 2006
7301 N COMANCHE AVE, OKLAHOMA CITY, OK 73132(405) 721-8090(405) 722-8529 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Prairie Pediatric And Allergy Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC (NPI 1952368664) is a healthcare organization registered as a pediatrics in Oklahoma City, Oklahoma and active in the NPI registry since April 2006. The organization lists Kenneth Charles Jackson, Pres, as its authorized official.

NPPES Registry Identity

NPI1952368664
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC
Location Address7301 N COMANCHE AVEOklahoma City, OK 73132
Mailing Address7301 N Comanche AveOklahoma City, OK 73132 · (405) 721-8090 · Fax (405) 722-8529
Phone(405) 721-8090
Fax(405) 722-8529
Organization SubpartNo
Authorized OfficialKenneth Charles JacksonPres · (405) 721-8090
Enumeration DateApril 27, 2006
Last NPPES UpdateMay 25, 2012
✔ NPI 1952368664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 11030
Definition
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.
7301 N COMANCHE AVE, Oklahoma City, OK 73132
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Other Identifiers 1

Medicare UPINE28930

Group Practice 1

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

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAND PRAIRIE PEDIATRICS
Clinic/Center (Primary Care)
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Oklahoma County (405) 721-8090
TERRI DENISE COBB LPC-S
Counselor
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Oklahoma County (405) 761-8358
SARA BEATRIZ CAYALO SERRUDO
Counselor (Mental Health)
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Oklahoma County (405) 761-8358
KATHERINE GALGANI RENSING CPNP-PC
Nurse Practitioner (Pediatrics)
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Oklahoma County (405) 271-4646
ELIZABETH ANNE HARRIS PA C
Physician Assistant
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Oklahoma County (405) 271-4646
KENNETH C JACKSON M.D.
Specialist
7301 N COMANCHE AVE, OU PHYSICIANS
WARR ACRES, OK 73132
Oklahoma County (405) 721-8090
DR. MARY ELLEN STOCKETT M.D.
Pediatrics
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Oklahoma County (405) 721-8090
L4 CLINICAL MANAGEMENT LLC
Family Medicine
7301 N COMANCHE AVE
WARR ACRES, OK 73132
Oklahoma County (405) 728-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Prairie Pediatric And Allergy Clinic Inc's NPI number?

The NPI number for Grand Prairie Pediatric And Allergy Clinic Inc is 1952368664. It was assigned to this organization in the NPPES registry on April 27, 2006.

Where is Grand Prairie Pediatric And Allergy Clinic Inc located?

Grand Prairie Pediatric And Allergy Clinic Inc is located at 7301 N Comanche Ave, Oklahoma City, OK 73132. The listed phone number is (405) 721-8090.

What is Grand Prairie Pediatric And Allergy Clinic Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Grand Prairie Pediatric And Allergy Clinic Inc was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.