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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 Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES

NPI Number 1386833374
LBN Legal business name DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES
Authorized official FARYAL GHAFFAR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2007
Last updated 05/20/2016 - About 10 years ago
Identifiers
TX License # K9784
TX Medicaid 175070501
TX Medicaid 175070502
TX Other 0088MQ BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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