NPIMap

Organization Active NPI

Pediatric Hospital Care of Brownsville

  • Pediatrics Physician
  • McAllen, TX
National Provider Identifier
1215103197
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC HOSPITAL CARE OF BROWNSVILLE
Practice address
5111 N 10TH St
281
McAllen, TX 78504-2835
Phone
(877) 543-7247
Fax
(956) 994-0114
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Otto R Velasquez, M.D.
Title
Ceo
Phone
(877) 543-7247

Specialties & licenses 1

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

Addresses

Primary practice location

5111 N 10TH St
281
McAllen, TX 78504-2835

Mailing address

5111 N 10TH St
281
McAllen, TX 78504-2835
Phone (877) 543-7247

Other identifiers 1

IdentifierTypeStateIssuer
1921181-01MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1215103197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N 10TH ST",
            "address_2": "281",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042835",
            "telephone_number": "877-543-7247",
            "fax_number": "956-994-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N 10TH ST",
            "address_2": "281",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042835",
            "telephone_number": "877-543-7247",
            "fax_number": "956-994-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HOSPITAL CARE OF BROWNSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-543-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "1921181-01",
            "state": "TX"
        }
    ],
    "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 Oct 19, 2011; 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.