Organization Active NPI

Pediatric Endocrinology Clinic

  • Pediatric Endocrinology Physician
  • Edinburg, TX
National Provider Identifier
1073912325
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
P8776 Issued in TX
Legal business name
PEDIATRIC ENDOCRINOLOGY CLINIC
Practice address
4302 S Sugar Rd Ste 205
Edinburg, TX 78539-9140
Phone
(956) 287-0459
Fax
(956) 287-0476
NPI assigned
Aug 21, 2014
Organization subpart
Yes
Parent organization
OTTO VELASQUEZ MDPHD & ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Jose D Gamez, M.D.
Title
MD
Phone
(956) 287-0459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X P8776 TX Primary

Addresses

Primary practice location

4302 S Sugar Rd Ste 205
Edinburg, TX 78539-9140

Mailing address

4302 S Sugar Rd Ste 205
Edinburg, TX 78539-9140
Phone (956) 287-0459

National Provider Directory

National Provider Directory
Part of
Otto Velasquez MD PHD

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1073912325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 S SUGAR RD STE 205",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399140",
            "telephone_number": "956-287-0459",
            "fax_number": "956-287-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 S SUGAR RD STE 205",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399140",
            "telephone_number": "956-287-0459",
            "fax_number": "956-287-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINOLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTTO VELASQUEZ MDPHD & ASSOCIATES",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "GAMEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "956-287-0459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TX",
            "license": "P8776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.