Clint Pediatric Night Clinic

Organization Active NPI Pediatrics Physician · Clint, TX

NPI 1033564232 · NPPES record last updated Apr 26, 2016

Key facts

NPI
1033564232
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
Q2172 (TX)
Legal business name
CLINT PEDIATRIC NIGHT CLINIC
Practice address
100 San Elizario Rd Ste H
Clint, TX 79836-6739
Phone
(915) 209-3722
NPI assigned
Apr 26, 2016
Organization subpart
No

Authorized official

Name
Chukwujekwu Okpalaji
Title
President
Phone
(915) 209-3722

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Q2172 TX Yes

Addresses

Primary practice location

100 San Elizario Rd Ste H
Clint, TX 79836-6739

Mailing address

100 San Elizario Rd Ste H
Clint, TX 79836-6739

Other providers in Clint, TX

All providers in Clint, TX · Pediatrics Physician in Texas

Sources for this page

Verify at the official NPI Registry.