Organization Active NPI

Bicentennial Kids Clinic PLLC

  • Pediatrics Physician
  • McAllen, TX
National Provider Identifier
1144894833
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BICENTENNIAL KIDS CLINIC PLLC
Practice address
400 S Bicentennial Blvd
McAllen, TX 78501-5199
Phone
(956) 668-1060
Fax
(956) 968-0103
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Felipe M. Avila, MD
Title
Owner
Phone
(956) 968-0103

Specialties & licenses 1

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

Addresses

Primary practice location

400 S Bicentennial Blvd
McAllen, TX 78501-5199

Mailing address

1408 E 8TH St
Weslaco, TX 78596-6639
Phone (956) 968-0103

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1144894833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966639",
            "telephone_number": "956-968-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S BICENTENNIAL BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015199",
            "telephone_number": "956-668-1060",
            "fax_number": "956-968-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICENTENNIAL KIDS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-968-0103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.