NPIMap

Organization Active NPI

Clint Pediatric Night Clinic

  • Pediatrics Physician
  • Clint, TX
National Provider Identifier
1033564232
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q2172 Issued in 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
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Chukwujekwu OkpalajiNPI 1265708580
Title
President
Phone
(915) 209-3722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Q2172 TX Primary

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1033564232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAN ELIZARIO RD STE H",
            "city": "CLINT",
            "state": "TX",
            "postal_code": "798366739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAN ELIZARIO RD STE H",
            "city": "CLINT",
            "state": "TX",
            "postal_code": "798366739",
            "telephone_number": "915-209-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINT PEDIATRIC NIGHT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "OKPALAJI",
        "authorized_official_first_name": "CHUKWUJEKWU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-209-3722"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clint, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.