Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Prairie Pediatric and Allergy Clinic Inc

Organization Pediatrics Physician · NPI 1952368664

Grand Prairie Pediatric and Allergy Clinic Inc is a Pediatrics Physician in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7301 N Comanche Ave
Oklahoma City, OK 73132
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

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 11030 (OK)

Record details

NPI number1952368664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Jackson — Pres · (405) 721-8090
NPI enumeratedApril 27, 2006
Last updated in NPPESMay 25, 2012
Mailing address7301 N Comanche Ave, Oklahoma City, OK 73132

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