Tarrant Community Pediatrics
Organization Active NPI Primary Care Clinic/Center · Richland Hills, TX
NPI 1891708004 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1891708004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- L0626 (TX)
- Legal business name
- TARRANT COMMUNITY PEDIATRICS
- Practice address
- 7290 Glenview Dr
Richland Hills, TX 76180-8610 - Phone
- (817) 595-9944
- Fax
- (817) 595-8835
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Kalaimani Subramanian, M.D.
- Title
- Owner
- Phone
- (817) 595-9944
Practitioners 1
-
Kalaimani Subramanian, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1047215 | Tarrant Community Pediatrics | Certificate of waiver | Oct 27, 2027 |
National Provider Directory
Locations
7290 Glenview Dr
Richland Hills, TX 76180
Phone (817) 595-9944
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75832
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | |||
| Primary Care Clinic/Center | 261QP2300X | L0626 | TX | Yes |
Addresses
Primary practice location
7290 Glenview Dr
Richland Hills, TX 76180-8610
Mailing address
1913 Country Moss Way
Southlake, TX 76092-6928
Phone (817) 595-9944
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165594601 | Medicaid | TX |
Other names
- Kalaimani Subramanian, M.D.
Other providers in Richland Hills, TX
- Jeremiah Isaac Simmons
- Sara Solaiman
- Southern Pharmaceutical Corporation
- Southwest Direct Diagnostic Laboratory LLC
- Kalaimani Subramanian
- Texas Mobile Podiatry PLLC
- Ann Tucker
- Hang Tuong
- Sandy Samuel Varghese
- Edward Vasquez
All providers in Richland Hills, TX · Primary Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.