Active NPI
Childrens Clinic of Harlingen PA
- Pediatrics Physician
- Brownsville, TX
National Provider Identifier
1407875412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CHILDRENS CLINIC OF HARLINGEN PA
- Practice address
- 1601 Alton Gloor
Ste 109
Brownsville, TX 78520 - Phone
- (956) 547-9000
- Fax
- (956) 547-9017
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry M Miranda Jr., MD
- Title
- President
- Phone
- (956) 364-2900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1601 Alton Gloor
Ste 109
Brownsville, TX 78520
Mailing address
608 N Ed Carey Drive
Harlingen, TX 78550
Phone (956) 364-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112547 | Other | TX | SUPERIOR |
National Provider Directory
National Provider Directory- Tax ID family
- Childrens Clinic of Harlingen PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Harlingen, TX
- NPI 1821017898
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Harlingen, TX
- NPI 1790707313
-
- Family Nurse Practitioner
- Harlingen, TX
- NPI 1932551124
-
- Pediatrics Physician
- Harlingen, TX
- NPI 1528269511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407875412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 N ED CAREY DRIVE",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "78550",
"telephone_number": "956-364-2900",
"fax_number": "956-364-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 ALTON GLOOR",
"address_2": "STE 109",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78520",
"telephone_number": "956-547-9000",
"fax_number": "956-547-9017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS CLINIC OF HARLINGEN PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-364-2900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR",
"identifier": "112547",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.