NPIMap

Organization Active NPI

Pediatric Patrol

  • Health Service Clinic/Center
  • Spring, TX
National Provider Identifier
1396315685
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PEDIATRIC PATROL
Doing business as
Pediatric Patrol
Practice address
25218 Spring Ridge Dr
Spring, TX 77386-1500
Phone
(832) 702-5879
NPI assigned
Jun 29, 2021
Organization subpart
Yes
Parent organization
DR. FREDDY MEDICAL CONSULTING SVC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Dr. Alfred John Martinez, MDNPI 1083624068
Title
Managing Member
Phone
(832) 702-5879

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

25218 Spring Ridge Dr
Spring, TX 77386-1500

Mailing address

25218 Spring Ridge Dr
Spring, TX 77386-1500
Phone (832) 702-5879

Other names 1

  • Pediatric Patrol Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pediatricpatrol@gmail.com

National Provider Directory

National Provider Directory
Part of
Pediatric Patrol

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1396315685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25218 SPRING RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861500",
            "telephone_number": "832-702-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25218 SPRING RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861500",
            "telephone_number": "832-702-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PATROL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. FREDDY MEDICAL CONSULTING SVC PLLC",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-702-5879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pediatricpatrol@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "25218 Spring Ridge Dr",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773861500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pediatric Patrol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.