Grand Prairie Pediatric and Allergy Clinic Inc
Grand Prairie Pediatric and Allergy Clinic Inc provides Pediatrics Physician services 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.
Practice location Address checks out
7301 N Comanche AveOklahoma City, OK 73132 Not confirmed with CMS for 14 years — call before visiting
Phone: (405) 721-8090
Fax: (405) 722-8529
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1952368664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Jackson — Pres · (405) 721-8090 |
| NPI enumerated | April 27, 2006 |
| Last updated in NPPES | May 25, 2012 |
| Mailing address | 7301 N Comanche Ave, Oklahoma City, OK 73132 |
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Mr. Jason Randall Graham, DO
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Kailey Ann Graybill, MD
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Dakota Greenwell, DO
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