National Provider Identifier Database

TEXAS INSTITUTE OF PEDIATRICS PLLC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


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
* Pediatrics 208000000X
Neurological Surgery 207T00000X
Pediatric Critical Care Medicine 2080P0203X
Pediatric Hematology-Oncology 2080P0207X
Pediatric Pulmonology 2080P0214X
Pediatric Surgery 2086S0120X
Pediatrics 363LP0200X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for TEXAS INSTITUTE OF PEDIATRICS PLLC

NPI Number 1669633848
Legal business name
LBN
TEXAS INSTITUTE OF PEDIATRICS PLLC
Authorized official ROBERTA CLOUD - (VICE PRESIDENT OF MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 06/20/2008
Last updated 06/02/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 197834803
  • TX Other: 197834804 CSHCN
  • TX Other: 0A3121 MEDICARE

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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