Kids Clinic Pa

LBN: Kids Clinic Pa
Kids Clinic Pa is an health care organization with primary practice located at 7017 S Staples St Ste 101, Corpus Christi TX 78413-5507. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Kids Clinic Pa can be contacted via phone (361) 994-7255, or through Fader, William A via phone (361) 994-7255.

Contact Information

Primary practice address
7017 S Staples St Ste 101 Corpus Christi TX 78413-5507
Phone: (361) 994-7255
Fax: (361) 994-7740
Website:
Map and Directions
Authorized official contact:
Name: Fader, William A Doctor of Medicine (MD)
Phone: (361) 994-7255

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X H3035 Texas

Profile Details

NPI number 1376767913
LBN Legal business name Kids Clinic Pa
DBA Doing business as
Authorized official Fader, William A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Aug 29th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376767913 NPPES
Texas MEDICAID 121271401
Texas MEDICAID 121271404

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