Pediatrics & General Practice, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

Q5039 Issued in TX

Legal business name

PEDIATRICS & GENERAL PRACTICE, PLLC

Practice address

3626 N Macarthur Blvd
Suite 225
Irving, TX 75062-3643

Phone

(256) 226-9351

Fax

(866) 469-5182

NPI assigned

Jan 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Iqbal A. Memon, M.D.

Title

Member

Phone

(256) 226-9353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454112000000",
    "number": "1285092619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 BENJAMIN WAY",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341115",
            "telephone_number": "256-226-9351",
            "fax_number": "866-469-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N MACARTHUR BLVD",
            "address_2": "SUITE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623643",
            "telephone_number": "256-226-9351",
            "fax_number": "866-469-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS & GENERAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-01-30",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "256-226-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "Q5039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shatyra B Peevy
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• Margarita Pena-Obando, DC

• Primary Care Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; 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.