Grand Prairie Pediatric and Allergy Clinic
Grand Prairie Pediatric and Allergy Clinic is a Preferred Provider Organization in Warr Acres, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
Practice location Address checks out
7301 N Comanche AveWarr Acres, OK 73132-6646
Phone: (405) 721-8090
Fax: (405) 722-8529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X (OK) |
|---|
Record details
| NPI number | 1588716104 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Jackson — President · (405) 721-8090 |
| NPI enumerated | January 16, 2007 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 7301 N Comanche Ave, Warr Acres, OK 73132-6646 |