Pediatrics Care Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K2224 Issued in TX

Legal business name

PEDIATRICS CARE CLINIC

Practice address

5506 Broadway Blvd
Garland, TX 75043-3639

Phone

(972) 303-0240

Fax

(972) 303-4343

NPI assigned

Jul 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lubna Kamal, M.D. PA

Title

Head Physician/Owner

Phone

(972) 303-2400

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1003006669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433639",
            "telephone_number": "972-303-0240",
            "fax_number": "972-303-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433639",
            "telephone_number": "972-303-0240",
            "fax_number": "972-303-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "LUBNA",
        "authorized_official_title_or_position": "HEAD PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-303-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093881502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0049EB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092381501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Peck, PT
• Peco Enterprises Inc
• Pedi Spot LLC
• Pediatric Pro Children'S Dentistry & Orthodontics
• Pediatric Radioanesthesia Supply
• Yennier Peillon Gamboa, DNP, APRN, NP-C
• Alexandra Peisen, PT, DPT
• Cesar B Pena-Rodriguez, MD
• Darien Ammerman Pena, LPC-ASSOCIATE
• Jade Anna Penick

• Pediatrics Physician in Garland, TX
• Providers in Garland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.