Kidsville Pediatrics Mansfield

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

KIDSVILLE PEDIATRICS MANSFIELD

Practice address

1759 Broad Park Cir S Ste 205
Mansfield, TX 76063-7834

Phone

(682) 341-3910

Fax

(682) 400-1288

NPI assigned

Apr 6, 2026

Last updated

Apr 6, 2026By 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

Mr. Omar Ashour, MD

Title

Manager

Phone

(682) 232-4017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1154262889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIR S STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637834",
            "telephone_number": "682-341-3910",
            "fax_number": "682-400-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIR S STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637834",
            "telephone_number": "682-341-3910",
            "fax_number": "682-400-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSVILLE PEDIATRICS MANSFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "ASHOUR",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "682-232-4017",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Nicole Kercher, OTR/L
• Annette M. Kerr, LPC
• Megan Kerr
• Kerstin a Archer, MD, PA
• Khuong Phan, D.O., P.a. (Mansfield Medical Associates)
• Kidsville Pediatrics PLLC
• Kim Pham Co (Select Vision Care)
• Mai Thanh Kim, PHARMD
• Young Kyu Kim, DMD
• Timothy Kimuyu, APRN

• Pediatric Critical Care Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pediatric Critical Care Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.