SOUTH PADRE ISLAND PEDIATRIC CLINIC NPI 1225283807

NPI Information

NPI: 1225283807
Provider Name: SOUTH PADRE ISLAND PEDIATRIC CLINIC

Doing Business As: SOUTH PADRE ISLAND PEDIATRIC CNTR-ARANSAS PASS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
160 S. 13TH STREET
ARANSAS PASS, TX
ZIP 78336
Phone: (361) 758-1984
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SOUTH PADRE ISLAND PEDIATRIC CLINIC is a rural health clinic center in Aransas Pass, TX. SOUTH PADRE ISLAND PEDIATRIC CLINIC NPI is 1225283807. The provider is registered as an organization entity type.
The provider Is Doing Business As South Padre Island Pediatric Cntr-aransas Pass.

The provider's business location address is:

160 S. 13TH STREET
ARANSAS PASS, TX
ZIP 78336
Phone: (361) 758-1984
Fax: (361) 851-5193

The provider's authorized official is Sandy Gonzalez .
The authorized official title is Office Manager and has the following contact phone number (361) 854-4626.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 11/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	G6791	TEXAS	No
2	261QR1300X	Clinic/Center	Rural Health	E4618	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	127051406	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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