South Padre Island Pediatric-Mathis

LBN: South Padre Island Pediatric Center
South Padre Island Pediatric-Mathis is an health care organization with primary practice located at 220 E. St. Mary'S Street , Mathis TX 78368. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. South Padre Island Pediatric Center can be contacted via phone (361) 758-1984, or through Gonzalez, Sandy via phone (361) 854-4626.

Contact Information

Primary practice address
220 E. St. Mary'S Street Mathis TX 78368
Phone: (361) 758-1984
Fax: (361) 851-5193
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Sandy
Phone: (361) 854-4626

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X G6791 Texas
Ambulatory Health Care Facilities / Rural Health 261QR1300X E4618 Texas

Profile Details

NPI number 1134374713
LBN Legal business name South Padre Island Pediatric Center
DBA Doing business as South Padre Island Pediatric-Mathis
Authorized official Gonzalez, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2008
Last updated Nov 24th, 2008 - about 17 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 1134374713 NPPES
Texas MEDICAID 127051405

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