Pharr Pediatric Clinic, Pa

LBN: Pharr Pediatric Clinic, Pa
Pharr Pediatric Clinic, Pa is an health care organization with primary practice located at 105 E Polk Ave , Pharr TX 78577-3110. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pharr Pediatric Clinic, Pa can be contacted via phone (956) 781-6591, or through Mata, Israel via phone (956) 781-6591.

Contact Information

Primary practice address
105 E Polk Ave Pharr TX 78577-3110
Phone: (956) 781-6591
Fax: (956) 702-0185
Website:
Map and Directions
Authorized official contact:
Name: Mata, Israel Doctor of Medicine (MD)
Phone: (956) 781-6591

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J2456 Texas

Profile Details

NPI number 1073695441
LBN Legal business name Pharr Pediatric Clinic, Pa
DBA Doing business as
Authorized official Mata, Israel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Jun 22nd, 2015 - about 10 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 1073695441 NPPES
Texas MEDICAID 178958801

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