M & C Children'S Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

M & C CHILDREN'S CLINIC

Practice address

11800 Montana Ave
El Paso, TX 79936

Phone

(915) 546-4140

Fax

(915) 546-4144

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stanley O Usen, MDNPI 1265466353

Title

President

Phone

(915) 546-4140

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Stanley Usen, MD

  • Pediatrics Physician
  • El Paso, TX
  • NPI 1265466353
  NPD (past) Authorized official
• Vivian Alexis Duron, CPNP-PC

  • Pediatric Nurse Practitioner
  • El Paso, TX
  • NPI 1194656710
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1356419832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-546-4140",
            "fax_number": "915-546-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-546-4140",
            "fax_number": "915-546-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & C CHILDREN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "USEN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-546-4140",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178243501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178242701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Hartman Lyon, M.A.
• Matthew Houston Lyon
• Richard George Lyon, DDS
• Tiffany Garner Lyon, PHARMD
• Alicia Beth Lyons, ATC, LAT
• M & D Legacy
• M a X-Ray Consultants LLC
• M Ramco Inc
• M.E. 1 LLC
• M&L Loving Hands Foster Home

• Pediatrics Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.