Spring Creek Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H1447 Issued in TX

Legal business name

SPRING CREEK PEDIATRIC CENTER

Practice address

110 Medical Dr
Suite 104
Victoria, TX 77904-3101

Phone

(361) 572-9400

Fax

(361) 572-4415

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Ilene Garcia

Title

Billing Manager

Phone

(361) 572-9400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1184809352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEDICAL DR",
            "address_2": "SUITE 104",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043101",
            "telephone_number": "361-572-9400",
            "fax_number": "361-572-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL DR",
            "address_2": "SUITE 104",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043101",
            "telephone_number": "361-572-9400",
            "fax_number": "361-572-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "361-572-9400"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Ratliff Speed
• Mark Howard Spivey, DDS
• Blake Spoon, PT
• Peter M Spradling, DMD
• Spring Creek Healthcare, Inc.
• Springwood Pharmacy, LLC
• Gailane Marie Spurgeon, LPC
• Daniel Eugene Squyres, DNP, APRN, FNP-C
• Laurie Lynn Srubar Kiening, RN-FNP
• Stable Life Counseling Center, LLC

• 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 Jan 7, 2008; 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.