Children'S Physician Services of South Texas

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS

Practice address

115 Medical Dr Ste 201
Victoria, TX 77904-3105

Phone

(361) 572-1045

NPI assigned

May 8, 2009

Organization subpart

Yes

Parent organization

CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXASAs reported in NPPES

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

Authorized official

Name

Derrick Parker

Title

Administrator

Phone

(361) 694-5081

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DRISCOLL AFTER HOURS CLINIC Other name

Part of

Children'S Physician Services of South Texas

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Children'S Physician Services of South Texas

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1801856786
  NPPES parent name

Practitioners 1

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

• Rhonda Olvera, APRN-BC

  • Nurse Practitioner
  • Carthage, MO
  • NPI 1184683518
  NPD (past)

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1154555928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR STE 201",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043105",
            "telephone_number": "361-572-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS",
        "enumeration_date": "2009-05-08",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-694-5081"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082887301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRISCOLL AFTER HOURS CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Chesak, PT
• Child Study Clinic
• Child Study Clinic
• Child Study Clinic
• Child Study Clinic
• Natalie Dawn Chilton, CRNA
• Carlos Enrique Chinea, M.D.
• Christi M Tupa MD PA
• Christian Provider Services Inc
• Bryan Chii-Yeu Chu

• Pediatrics Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.