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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

NPI Number 1669633848
LBN Legal business name TEXAS INSTITUTE OF PEDIATRICS PLLC
Authorized official ROBERTA CLOUD - (VICE PRESIDENT OF MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2008
Last updated 06/02/2009 - About 17 years ago
Identifiers
TX Medicaid 197834803
TX Other 197834804 CSHCN
TX Other 0A3121 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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