Heavenly Children'S Pediatric Clinic

LBN: Peter L Dy Md Pa
Heavenly Children'S Pediatric Clinic is an health care organization with primary practice located at 806 S Cage Blvd Ste B , Pharr TX 78577-5961. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Peter L Dy Md Pa can be contacted via phone (956) 283-8990, or through Dy, Julienna via phone (956) 283-8990.

Contact Information

Primary practice address
806 S Cage Blvd Ste B Pharr TX 78577-5961
Fax: (956) 283-8980
Website:
Authorized official contact:
Name: Dy, Julienna

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K9055 Texas
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1750396628
LBN Legal business name Peter L Dy Md Pa
DBA Doing business as Heavenly Children'S Pediatric Clinic
Authorized official Dy, Julienna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Oct 21st, 2022 - about 3 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 1750396628 NPPES
Texas MEDICAID 175442602
Texas MEDICAID 175442601

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