Mission Childrens Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MISSION CHILDRENS CLINIC

Practice address

1616 N Conway Ave
Mission, TX 78572-4004

Phone

(956) 580-9966

Fax

(956) 580-1964

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Preciado, MD

Title

Owner

Phone

(956) 580-9966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1235307661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724004",
            "telephone_number": "956-580-9966",
            "fax_number": "956-580-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724004",
            "telephone_number": "956-580-9966",
            "fax_number": "956-580-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CHILDRENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "PRECIADO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-580-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirasol Health Services, Inc.
• Mirasol Primary Home Care LLC
• Esmer Mireles
• Jonathan Mireles, MSOT
• Mission Adult & Senior Care Center PA.
• Mission Childrens Day and Night Clinic
• Mission Cisd
• Mission Dental PLLC
• Mission Dialysis Access Center, PA
• Mission Doctors Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.