National Provider Identifier Database

KIDS CLINIC PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

KIDS CLINIC PA
7017 S STAPLES ST
STE 101
CORPUS CHRISTI, TX78413-5507
Phone: 361-994-7255
Fax: 361-994-7740
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for KIDS CLINIC PA

NPI Number 1376767913
Legal business name
LBN
KIDS CLINIC PA
Authorized official WILLIAM FADER - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 04/13/2007
Last updated 08/29/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: H3035
  • TX Medicaid: 121271401
  • TX Medicaid: 121271404

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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