Active NPI
West Texas Pediatric Cardiology
- Pediatric Cardiology Physician
- Lubbock, TX
National Provider Identifier
1245456276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- WEST TEXAS PEDIATRIC CARDIOLOGY
- Practice address
- 3702 20TH St
Suite B
Lubbock, TX 79410-1206 - Phone
- (806) 791-5930
- Fax
- (806) 791-5937
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Somkid Sridaromont, MD
- Title
- Owner
- Phone
- (806) 791-5930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | Primary |
Addresses
Primary practice location
3702 20TH St
Suite B
Lubbock, TX 79410-1206
Mailing address
3702 20TH St
Suite B
Lubbock, TX 79410-1206
Phone (806) 791-5930
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233532800000",
"number": "1245456276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 20TH ST",
"address_2": "SUITE B",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101206",
"telephone_number": "806-791-5930",
"fax_number": "806-791-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 20TH ST",
"address_2": "SUITE B",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101206",
"telephone_number": "806-791-5930",
"fax_number": "806-791-5937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TEXAS PEDIATRIC CARDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2009-02-02",
"status": "A",
"authorized_official_last_name": "SRIDAROMONT",
"authorized_official_first_name": "SOMKID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-791-5930",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- West Texas Kid'S Clinic, PLLC
- West Texas Mobile Audiology LLC
- West Texas Neurology Clinic LLC
- West Texas Oral Facial Surgery
- West Texas Pain Institute, LLC
- West Texas Pediatrics LLP
- West Texas Physiotherapy
- West Texas Surgical Assisting LLC
- West Texas Surgical Institute, LLC
- West Texas Urgent Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.