Tarrant Community Pediatrics in Southlake - Primary Care
Tarrant Community Pediatrics - NPI 1891708004
Tarrant Community Pediatrics is a Primary Care in Southlake, Texas. Tarrant Community Pediatrics practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Tarrant Community Pediatrics is 1891708004. The last update date is 2010-03-02.
Tarrant Community Pediatrics's current location address is 1913 Country Moss Way, Southlake, Texas. You can contact this provider via phone number 8175959944 and fax number 8175958835. The mailing address for Tarrant Community Pediatrics is 1913 Country Moss Way, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tarrant Community Pediatrics |
|---|---|
| Address | 1913 Country Moss Way, Southlake, Texas |
| Phone Number | 8175959944 |
| Fax Number | 8175958835 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Subramanian Kalaimani |
| Credentials | M.D. |
| Telephone Number | 8175959944 |
NPI Number Detail
| NPI Number | 1891708004 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2010-03-02 |
Provider Mailing Address Detail
| Address | 1913 Country Moss Way |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760926928 |
| Phone Number | 8175959944 |
| Fax Number | 8175958835 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | L0626 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165594601 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tarrant Community Pediatrics by the Centers for Medicare & Medicaid Services (CMS)?
The Tarrant Community Pediatrics has been assigned the NPI (National Provider Identifier) 1891708004. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Tarrant Community Pediatrics is located?
The Tarrant Community Pediatrics is situated at the following address: 1913 Country Moss Way, Southlake, TX, 760926928.
What is the area of specialization for Tarrant Community Pediatrics, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tarrant Community Pediatrics is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891708004 to Tarrant Community Pediatrics?
The Tarrant Community Pediatrics received its 1891708004 assignment from the Centers for Medicare & Medicaid Services on 2006-08-15.
When was the information pertaining to Tarrant Community Pediatrics most recently updated or revised?
The details related to Tarrant Community Pediatrics, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-02.