Pablo'S Kid Ventures, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P4562 Issued in TX

Legal business name

PABLO'S KID VENTURES, PLLC

Practice address

1010 W Jasper Dr
Ste 1
Killeen, TX 76542-1331

Phone

(254) 526-8890

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Esther De la Torre, M.D.

Title

President

Phone

(254) 526-8890

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Family Medicine Doing business as

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1124462767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR",
            "address_2": "STE 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421331",
            "telephone_number": "254-526-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR",
            "address_2": "STE 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421331",
            "telephone_number": "254-526-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO'S KID VENTURES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-526-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ezera Nicole Owens-Johnson
• Lacy Owens, LMT
• Bora Ozguler, MD
• Louscilla Ozorina
• Pablo Leonardo MD PA
• Tameka Padgett
• Joselyn Marie Pagan Ortiz
• Amy Preston Page, LCSW
• Kimberly Page, PHARM D
• Pain Control of Texas PLLC

• Family Medicine Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.