Heavenly Childrens Pediatric Clinic

LBN: Peter L Dy Md Pa
Heavenly Childrens Pediatric Clinic is an health care organization with primary practice located at 2310 E Expwy 83 Suite 7, Mission TX 78572. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Peter L Dy Md Pa can be contacted via phone (956) 519-9511, or through Dy, Julienna via phone (956) 283-8990.

Contact Information

Primary practice address
2310 E Expwy 83 Suite 7 Mission TX 78572
Phone: (956) 519-9511
Fax: (956) 519-9411
Website:
Map and Directions
Authorized official contact:
Name: Dy, Julienna
Phone: (956) 283-8990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1497760375
LBN Legal business name Peter L Dy Md Pa
DBA Doing business as Heavenly Childrens Pediatric Clinic
Authorized official Dy, Julienna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jun 16th, 2008 - about 18 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 1497760375 NPPES
Texas MEDICAID 175442601

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