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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1047215Tarrant Community Pediatrics
7290 Glenview Drive, Richland Hills, TX 76180
Certificate of waiverOct 27, 2027

National Provider Directory

Locations

7290 Glenview Dr
Richland Hills, TX 76180
Phone (817) 595-9944

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75832

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
165594601MedicaidTX

Other names

  • Kalaimani Subramanian, M.D. Former legal business name

Other providers in Richland Hills, TX

All providers in Richland Hills, TX · Primary Care Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.