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DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES NPI 1386833374


NPI Information

NPI: 1386833374
Provider Name: DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D1038758

Address:
1120 S MAIN ST
SUITE 100
GRAPEVINE, TX
ZIP 76051
Phone: (817) 416-5554
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DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES is a pediatrics in Grapevine, TX. The provider is 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. DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES NPI is 1386833374. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1120 S MAIN ST
SUITE 100
GRAPEVINE, TX
ZIP 76051-543
Phone: (817) 416-5554
Fax: (817) 416-5556

The provider's authorized official is Faryal Abdul Ghaffar .
The authorized official title is President and has the following contact phone number (817) 416-5554.

The CLIA number assigned to this NPI record is 45D1038758 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 5/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0208XPediatricsPediatric Infectious DiseasesK9784TEXASNo
2208000000XPediatricsK9784TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1175070501MEDICAIDTEXAS
20088MQOTHERTEXASBLUE SHIELD
3175070502MEDICAIDTEXAS
400184ZMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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