Grand Prairie Pediatric And Allergy Clinic

LBN: Grand Prairie Pediatric And Allergy Clinic
Grand Prairie Pediatric And Allergy Clinic is an health care organization with primary practice located at 7301 N Comanche Ave , Warr Acres OK 73132-6646. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Grand Prairie Pediatric And Allergy Clinic can be contacted via phone (405) 721-8090, or through Jackson, Kenneth C via phone (405) 721-8090.

Contact Information

Primary practice address
7301 N Comanche Ave Warr Acres OK 73132-6646
Phone: (405) 721-8090
Fax: (405) 722-8529
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kenneth C Doctor of Medicine (MD)
Phone: (405) 721-8090

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X Oklahoma

Profile Details

NPI number 1588716104
LBN Legal business name Grand Prairie Pediatric And Allergy Clinic
DBA Doing business as
Authorized official Jackson, Kenneth C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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