Organization
CHILD AND ADOLESCENT CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NURUL ISLAM M.D. (PRESIDENT)
(214) 644-1801
Entity
Organization
Contact information
Practice address
1150 N WATTERS RD # B, SUITE 108, ALLEN, TX 75013-5508
(214) 644-1801
(214) 644-1800
Mailing address
1150 N WATTERS RD # B, SUITE 108, ALLEN, TX 75013-5508
(214) 644-1801
(214) 644-1800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199445101
—
TX
01
—
8V2170
BCBS
TX
Enumeration date
03/23/2007
Last updated
06/09/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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