1023314457 NPI number — EDINBURG PEDIATRIC CLINIC

Table of content: (NPI 1023314457)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023314457 NPI number — EDINBURG PEDIATRIC CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDINBURG PEDIATRIC CLINIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023314457
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
807 N CAGE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHARR
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78577-3117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-283-1889
Provider Business Mailing Address Fax Number:
956-283-7014

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
922 S CLOSNER BLVD
Provider Second Line Business Practice Location Address:
STE C
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539-5609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-381-8431
Provider Business Practice Location Address Fax Number:
956-381-0325
Provider Enumeration Date:
02/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
AGUILERA
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
956-381-8431

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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