Organization
PEDIATRICS CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUBNA KAMAL M.D. PA (HEAD PHYSICIAN/OWNER)
(972) 303-2400
Entity
Organization
Contact information
Practice address
5506 BROADWAY BLVD, GARLAND, TX 75043-3639
(972) 303-0240
(972) 303-4343
Mailing address
5506 BROADWAY BLVD, GARLAND, TX 75043-3639
(972) 303-0240
(972) 303-4343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K2224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049EB
BLUE SHIELD
TX
05
—
092381501
—
TX
05
—
093881502
—
TX
Enumeration date
07/30/2007
Last updated
05/29/2008
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