NPIMap

Organization Active NPI

Pediatrics Care Clinic

  • Pediatrics Physician
  • Garland, TX
National Provider Identifier
1003006669
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Lubna Kamal, M.D. PANPI 1023048113
Title
Head Physician/Owner
Phone
(972) 303-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K2224 TX Primary

Addresses

Primary practice location

5506 Broadway Blvd
Garland, TX 75043-3639

Mailing address

5506 Broadway Blvd
Garland, TX 75043-3639
Phone (972) 303-0240

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • 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.