Organization Active NPI

Pedistat L.P.

  • Urgent Care Clinic/Center
  • Webster, TX
National Provider Identifier
1487077525
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PEDISTAT L.P.
Practice address
205 E Medical Center Blvd Ste 101
Webster, TX 77598-4376
Phone
(832) 215-8884
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Dr. Ragini Prakash Miryala, M.D.
Title
Owner
Phone
(832) 215-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

205 E Medical Center Blvd Ste 101
Webster, TX 77598-4376

Mailing address

3017 S Island Dr
Seabrook, TX 77586-1649
Phone (832) 215-8884

National Provider Directory

National Provider Directory

Locations

205 E Medical Center Blvd
Ste 101
Webster, TX 77598
Phone (832) 215-8884

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1487077525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 S ISLAND DR",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775861649",
            "telephone_number": "832-215-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MEDICAL CENTER BLVD STE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984376",
            "telephone_number": "832-215-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDISTAT L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "MIRYALA",
        "authorized_official_first_name": "RAGINI",
        "authorized_official_middle_name": "PRAKASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-215-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.