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Contact Information

TEXAS INSTITUTE OF PEDIATRICS PLLC
4410 MEDICAL DRIVE
SUITE 540
SAN ANTONIO, TX78229-3755
 Phone: 210-575-6240
 Fax: 210-575-6280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for TEXAS INSTITUTE OF PEDIATRICS PLLC · (Female)

NPI # 1669633848
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2008
Last updated 06/02/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 197834803
  • TX Other 197834804 CSHCN
  • TX Other 0A3121 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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