Grand Prairie Pediatric And Allergy Clinic Inc

LBN: Grand Prairie Pediatric And Allergy Clinic Inc
Grand Prairie Pediatric And Allergy Clinic Inc is an health care organization with primary practice located at 7301 N Comanche Ave , Oklahoma City OK 73132. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Grand Prairie Pediatric And Allergy Clinic Inc can be contacted via phone (405) 721-8090, or through Jackson, Kenneth Charles via phone (405) 721-8090.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11030 Oklahoma

Profile Details

NPI number 1952368664
LBN Legal business name Grand Prairie Pediatric And Allergy Clinic Inc
DBA Doing business as
Authorized official Jackson, Kenneth Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated May 25th, 2012 - about 12 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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