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DALLAS PEDIATRICS AND CHILDREN'S HEALTHCARE P.A. NPI 1932555133


NPI Information

NPI: 1932555133
Provider Name: DALLAS PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2113736

Address:
12606 GREENVILLE AVE STE 120
DALLAS, TX
ZIP 75243
Phone: (214) 292-0072
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DALLAS PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A. is a primary care clinic center in Dallas, TX. DALLAS PEDIATRICS AND CHILDREN'S HEALTHCARE, P.A. NPI is 1932555133. The provider is registered as an organization entity type.

The provider's business location address is:

12606 GREENVILLE AVE STE 120
DALLAS, TX
ZIP 75243-926
Phone: (214) 292-0072
Fax: (972) 231-0360

The provider's authorized official is Anisa Ahmed .
The authorized official title is Director and has the following contact phone number (214) 728-8867.

The CLIA number assigned to this NPI record is 45D2113736 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2016 and was last updated on 12/21/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareTEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1359470702MEDICAIDTEXAS
2046074304MEDICAIDTEXAS
3046074306MEDICAIDTEXAS
4046074305MEDICAIDTEXAS
5359470704MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.