Organization Active NPI

Advanced Pediatric Clinic, P.a,

  • Pediatrics Physician
  • Edinburg, TX
National Provider Identifier
1134432370
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J8999 Issued in TX
Legal business name
ADVANCED PEDIATRIC CLINIC, P.A,
Practice address
5323 S McColl Rd Ste 102
Edinburg, TX 78539-9116
Phone
(956) 587-0555
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Argelia C Douglas, MD
Title
President
Phone
(956) 587-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X J8999 TX Primary

Addresses

Primary practice location

5323 S McColl Rd Ste 102
Edinburg, TX 78539-9116

Mailing address

5323 S McColl Rd
102
Edinburg, TX 78539-9116
Phone (956) 587-0555

Other names 1

  • ARGELIA DOUGLAS MD PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Advanced Kids Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5323 S McColl Rd
Ste 102
Edinburg, TX 78539
Phone (956) 587-0555

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1134432370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 S MCCOLL RD",
            "address_2": "102",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399116",
            "telephone_number": "956-587-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 S MCCOLL RD STE 102",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399116",
            "telephone_number": "956-587-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRIC CLINIC, P.A,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ARGELIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-587-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARGELIA DOUGLAS MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 11, 2012; 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.