Grand Prairie Pediatrics

NPI 1043551591 - Clinic/Center - 261QP2300X

NPI Details
NPI 1043551591
Enumeration Date 03/08/2013
Last Updated 03/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRIAN BRIAN
Position CEO
Phone (405) 721-8090
Fax (405) 722-8529
Practice Location
7301 N COMANCHE AVE
WARR ACRES OK, 73132-6646, US
Phone (405) 721-8090
Fax (405) 722-8529
Business Location
1122 NE 13TH ST
ORI 274
OKLAHOMA CITY OK, 73117-1039, US
Phone (405) 271-1515
Fax (405) 271-1001
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Grand Prairie Pediatrics NPI is 1043551591, taxonomy code is 261QP2300X Grand Prairie Pediatrics physically located at 7301 N Comanche Ave, Warr Acres OK, 73132-6646. NPI Number 1033115704 has the healthcare provider type.

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1043551591 NPI number is provided on an as is basis without warranty of any kind. 1043551591 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Prairie Pediatrics are for informational purposes only.