GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC

WARR ACRES, OK
NPI1588716104
Entity TypeOrganization
Authorized ContactKENNETH C JACKSON
President
405-721-8090
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2007-01-16
Last Update Date2022-07-21
Business Address
GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC
7301 N COMANCHE AVE
WARR ACRES, OK 73132-6646
Phone number: 405-721-8090
Mailing Address
GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC
7301 N COMANCHE AVE
WARR ACRES, OK 73132-6646
Phone number: 405-721-8090