NPIMap

Organization Active NPI

Little Spurs Developmental and Behavioral Pediatrics, PLLC

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1306583646
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
LITTLE SPURS DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, PLLC
Practice address
24200 Ih 10 W
San Antonio, TX 78257-1145
Phone
(210) 263-9443
Fax
(726) 999-2625
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Alicia Tezel, MDNPI 1942206396
Title
Cmo
Phone
(210) 543-7334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

24200 Ih 10 W
San Antonio, TX 78257-1145

Mailing address

14100 San Pedro Ave Ste 608
San Antonio, TX 78232-4363
Phone (210) 543-7334

National Provider Directory

National Provider Directory

Locations

119 SW Loop 410
Ste 129
San Antonio, TX 78245
Phone (210) 263-9443

24200 W Interstate 10
Ste 108
San Antonio, TX 78257
Phone (210) 263-9443

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1306583646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324363",
            "telephone_number": "210-543-7334",
            "fax_number": "210-314-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 IH 10 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571145",
            "telephone_number": "210-263-9443",
            "fax_number": "726-999-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SPURS DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "TEZEL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "210-543-7334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.