NPIMap

Organization Active NPI

Sergio G. Preciado, M.D., P.a.

Doing business as Pharr Kid's Clinic

  • Pediatrics Physician
  • Pharr, TX
National Provider Identifier
1235354507
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9278 Issued in TX
Legal business name
SERGIO G. PRECIADO, M.D., P.A.
Doing business as
Pharr Kid's Clinic
Practice address
832 Del Oro
Suite 2
Pharr, TX 78577-2200
Phone
(956) 787-2500
Fax
(956) 787-2528
NPI assigned
Apr 13, 2007
Organization subpart
Yes
Parent organization
SERGIO G. PRECIADO, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Sergio G. Preciado, M.D.NPI 1336199694
Title
Owner
Phone
(956) 787-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X J9278 TX Primary

Addresses

Primary practice location

832 Del Oro
Suite 2
Pharr, TX 78577-2200

Mailing address

832 Del Oro
Suite 2
Pharr, TX 78577-2200
Phone (956) 787-2500

Other identifiers 2

IdentifierTypeStateIssuer
1840126MedicaidTX
8X5070OtherTXBCBS PROVIDER NUMBER

Other names 1

  • Pharr Kid's Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sergio G Preciado MD PA2 organizations share this tax ID, including this one
Part of
Sergio G Preciado MD PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1235354507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 DEL ORO",
            "address_2": "SUITE 2",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785772200",
            "telephone_number": "956-787-2500",
            "fax_number": "956-787-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 DEL ORO",
            "address_2": "SUITE 2",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785772200",
            "telephone_number": "956-787-2500",
            "fax_number": "956-787-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO G. PRECIADO, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERGIO G. PRECIADO, M.D., P.A.",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "PRECIADO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-787-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840126",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8X5070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharr Kid's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pharr, TX

Sources for this page

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