David Lecusay Pediatrics P a

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L9777 Issued in TX

Legal business name

DAVID LECUSAY PEDIATRICS P A

Doing business as

David Lecusay Pediatrics PA

Practice address

864 Central Blvd
Suite 2700
Brownsville, TX 78520-7551

Phone

(956) 544-6900

Fax

(956) 544-6905

NPI assigned

Apr 1, 2009

Last updated

Jul 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Lecusay, M.DNPI 1174576714

Title

MD / President

Phone

(956) 544-6900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• David Lecusay Pediatrics PA Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• David Lecusay, MD

  • Pediatrics Physician
  • Brownsville, TX
  • NPI 1174576714
  NPD (past) Authorized official
• Claudia Gisela Barbosa, APN

  • Primary Care Nurse Practitioner
  • Brownsville, TX
  • NPI 1376045906
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1306088562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2700",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-544-6900",
            "fax_number": "956-544-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2700",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-544-6900",
            "fax_number": "956-544-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LECUSAY PEDIATRICS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "LECUSAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD / PRESIDENT",
        "authorized_official_telephone_number": "956-544-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "L9777",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166514302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Lecusay Pediatrics PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Janie Davila
• Justin Davila, FNP
• Yolanda Trevino Davis, M.A.,CCC/SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.