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Organization

TARRANT COMMUNITY PEDIATRICS

Active
Other names
Kalaimani Subramanian, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
KALAIMANI SUBRAMANIAN M.D. (OWNER)
(817) 595-9944
Entity
Organization

Contact information

Practice address
7290 GLENVIEW DR, RICHLAND HILLS, TX 76180-8610
(817) 595-9944
(817) 595-8835
Mailing address
1913 COUNTRY MOSS WAY, SOUTHLAKE, TX 76092-6928
(817) 595-9944
(817) 595-8835

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
261QP2300X
Primary Care Clinic/Center
Primary
L0626
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165594601
TX
Enumeration date
08/15/2006
Last updated
07/17/2024
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