Pediatric Specialists Network, PA

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

K8856 Issued in TX

Legal business name

PEDIATRIC SPECIALISTS NETWORK, PA

Practice address

21212 Northwest Fwy
Suite 235
Cypress, TX 77429-5884

Phone

(832) 334-4004

Fax

(832) 334-4005

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Xavier Villa, MD

Title

President

Phone

(832) 334-4004

Specialties & licenses 3

Addresses

Other names 1

• Pediatric Specialists Network Doing business as

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1205074499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY",
            "address_2": "SUITE 235",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295884",
            "telephone_number": "832-334-4004",
            "fax_number": "832-334-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY",
            "address_2": "SUITE 235",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295884",
            "telephone_number": "832-334-4004",
            "fax_number": "832-334-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALISTS NETWORK, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-334-4004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K8856",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "K8856",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "K8856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Specialists Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luciana Peacock, LPC
• Sarah Peck
• Stacie Williams Peck, PHARM.D.
• Pediatriac Occupational Therapy Services, PC
• Pediatric Physical Therapy Services
• Karimot Adenike Pedro, NP-C
• Jeanette D Peebles, RBT
• Susana Pena Salazar, SA-C
• Amber M Pena, MD
• Euglis C Pena, ARNP

• Pediatric Gastroenterology Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Pediatric Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.