Wyoming Springs Pediatriacs

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J5302 Issued in TX

Legal business name

WYOMING SPRINGS PEDIATRIACS

Practice address

7200 Wyoming SPGS
Suite 200
Round Rock, TX 78681-4303

Phone

(512) 244-5959

Fax

(512) 244-1156

NPI assigned

Aug 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael A De Haro, MDNPI 1083727259

Title

Physician

Phone

(512) 244-5959

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Rafael A De Haro, MD

  • Pediatrics Physician
  • Round Rock, TX
  • NPI 1083727259
  Authorized official Same address or phone

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457468373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814303",
            "telephone_number": "512-244-5959",
            "fax_number": "512-244-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814303",
            "telephone_number": "512-244-5959",
            "fax_number": "512-244-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING SPRINGS PEDIATRIACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE HARO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-244-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. DE HARO",
            "identifier": "1083727259",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. MARSHALL",
            "identifier": "1982717179",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winnie B Wu, RPH
• Payton Leigh Wunderlich, PT
• Elizabeth Marie Wyatt, LPC
• William M. Wyatt, DDS
• Jordyn Taylor Wynn, M.S. CCC-SLP
• Ermelinda Xhemali, PA-C
• Biling Xu, MD
• Wanjun Xu
• Srujana Kamala Yada, MD
• Carrie Yager

• Pediatrics Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pediatrics Physician in Texas

• 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.

Verify at the official NPI Registry.