National Provider Identifier Database

DALLAS PEDIATRICS INFECTIOUS DISEASE ASSOCIATES
Pediatrics

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.


Contact Information

DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES
1120 S MAIN ST
SUITE 100
GRAPEVINE, TX76051-5543
Phone: 817-416-5554
Fax: 817-416-5556
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Pediatric Infectious Diseases 2080P0208X

* Indicates primary specialty

NPI Profile & details for DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES

NPI Number 1386833374
Legal business name
LBN
DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES
Authorized official FARYAL GHAFFAR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/16/2007
Last updated 05/20/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: K9784
  • TX Medicaid: 175070501
  • TX Medicaid: 175070502
  • TX Other: 0088MQ BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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