Child and Adolescent Center, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L3690 Issued in TX

Legal business name

CHILD AND ADOLESCENT CENTER, PA

Practice address

1150 N Watters Rd # B
Suite 108
Allen, TX 75013-5508

Phone

(214) 644-1801

Fax

(214) 644-1800

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nurul Islam, M.D.

Title

President

Phone

(214) 644-1801

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1366569550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD # B",
            "address_2": "SUITE 108",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "214-644-1801",
            "fax_number": "214-644-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD # B",
            "address_2": "SUITE 108",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "214-644-1801",
            "fax_number": "214-644-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "NURUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-644-1801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199445101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V2170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Mai-Yu Chen, MD
• Jiajing Chen
• Amanda Chevalier
• Jason Lin Chien, MD
• Ramya Chigurupati, DMD
• Mike Gla Chirachanchai, M.D.
• Chiro Concepts of Allen, PLLC
• Chiro One Wellness Center of Allen PLLC
• Chirosport Health, PLLC
• Amy Lenee Chisholm, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.