Pharr Pediatric Clinic, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J2456 Issued in TX

Legal business name

PHARR PEDIATRIC CLINIC, PA

Practice address

105 E Polk Ave
Pharr, TX 78577-3110

Phone

(956) 781-6591

Fax

(956) 702-0185

NPI assigned

Oct 19, 2006

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Israel Mata, M.D.NPI 1881693018

Title

Physician

Phone

(956) 781-6591

Specialties & licenses 1

Addresses

Locations

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.

• Israel Mata, M.D.

  • Pediatrics Physician
  • Pharr, TX
  • NPI 1881693018
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1073695441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E POLK AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785773110",
            "telephone_number": "956-781-6591",
            "fax_number": "956-702-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E POLK AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785773110",
            "telephone_number": "956-781-6591",
            "fax_number": "956-702-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARR PEDIATRIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-781-6591",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J2456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira America Perez
• Peter L Dy MD PA (Heavenly Children's Pediatric Clinic)
• Pharr Dental Associates PLLC (Dental Associates of Pharr)
• Pharr Family Day and Night Clinic (Juan Aguilera and Associates)
• Pharr Family Dentistry
• Pharr-San Juan-Alamo Isd
• Maria Pinal, TU OPTICAL
• Play and Learn Therapy, LLC
• Tomas De Jesus Ponce, BS, SLPA
• Jolissa Pratt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.