Boys & Girls Pediatric Clinic PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K6156 Issued in TX

Legal business name

BOYS & GIRLS PEDIATRIC CLINIC PA

Practice address

5850 Fm802
Suite C 6-7
Brownsville, TX 78526-5203

Phone

(956) 831-0880

Fax

(956) 831-0815

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vahid Mirafzali, M.D.

Title

Medical Director

Phone

(956) 831-0880

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1003028879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 FM802 SUITE C 6-7",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785265203",
            "telephone_number": "956-831-0880",
            "fax_number": "956-831-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 FM802",
            "address_2": "SUITE C 6-7",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785265203",
            "telephone_number": "956-831-0880",
            "fax_number": "956-831-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS & GIRLS PEDIATRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "MIRAFZALI",
        "authorized_official_first_name": "VAHID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-831-0880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katia Starlenis Bossous
• Elizabeth Ann Botello, D.D.S.
• Otis Jacob Bouwsma, D.M.D.
• Lisa A Bowen-Bender, APRN
• Kasey Amber Bowen
• Boys & Girls Urgent Care P. a.
• Bradley W Nordyke MD
• Bradley W Nordyke MD
• Lilia Aurora Branum, SLP- ASSISTANT
• Breeze Valenska Cervantes PLLC (Cervantes Counseling Center)

• Pediatrics Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.