Estrada Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L4927 Issued in TX

Legal business name

ESTRADA PEDIATRIC CENTER

Practice address

3705 Lakeview Pkwy # 400
Rowlett, TX 75088-4177

Phone

(972) 412-4813

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Roberto E Estrada, MD

Title

Owner

Phone

(972) 412-4813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417487059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 LAKEVIEW PKWY # 400",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884177",
            "telephone_number": "972-412-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 LAKEVIEW PKWY # 400",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884177",
            "telephone_number": "972-412-4813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2241 Peggy Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750425709",
            "country_code": "US",
            "telephone_number": "972-412-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESTRADA PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-412-4813",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.