Organization Active NPI

Bethesda Pediatrics PLLC

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1386945590
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K6656 Issued in TX
Legal business name
BETHESDA PEDIATRICS PLLC
Practice address
9594 Potranco Rd
Suite 102
San Antonio, TX 78251-9618
Phone
(210) 521-9500
Fax
(210) 521-9600
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Josue Molina, MD
Title
President
Phone
(210) 521-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X K6656 TX Primary

Addresses

Primary practice location

9594 Potranco Rd
Suite 102
San Antonio, TX 78251-9618

Mailing address

9594 Potranco Rd
Suite 102
San Antonio, TX 78251-9618
Phone (210) 521-9500

National Provider Directory

National Provider Directory

Locations

9594 Potranco Rd
Ste 102
San Antonio, TX 78251
Phone (210) 233-7070

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1386945590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9594 POTRANCO RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519618",
            "telephone_number": "210-521-9500",
            "fax_number": "210-521-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9594 POTRANCO RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519618",
            "telephone_number": "210-521-9500",
            "fax_number": "210-521-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-521-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6656",
            "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 Oct 20, 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.