Active NPI
Reddy Childrens Clinic, P.a
- Pediatrics Physician
- Harlingen, TX
National Provider Identifier
1487872362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L0535
- Legal business name
- REDDY CHILDRENS CLINIC, P.A
- Practice address
- 1821 S Sesame SQ
Suite#8
Harlingen, TX 78550-9288 - Phone
- (956) 425-4700
- Fax
- (956) 425-6260
- NPI assigned
- Apr 23, 2007
- Organization subpart
- Yes
- Parent organization
- REDDY CHILDRENS CLINIC, P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Surapureddy Seetharam Reddy, M.D
- Title
- President
- Phone
- (956) 425-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L0535 | TX | Primary |
Addresses
Primary practice location
1821 S Sesame SQ
Suite#8
Harlingen, TX 78550-9288
Mailing address
1821 S Sesame SQ
Suite#8
Harlingen, TX 78550-9288
Phone (956) 425-4700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123984 | Other | TX | SUPERIOR HEALTH PLAN |
| 129771101 | Other | TX | VALLEY HEALTH PLANS |
| 8K9920 | Other | TX | BCBSTX |
| 043239502 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Reddy Childrens Clinic PA
Locations
1821 S Sesame Sq
Ste 8
Harlingen, TX 78550
Phone (956) 425-4700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308009600000",
"number": "1487872362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 S SESAME SQ",
"address_2": "SUITE#8",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785509288",
"telephone_number": "956-425-4700",
"fax_number": "956-425-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 S SESAME SQ",
"address_2": "SUITE#8",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785509288",
"telephone_number": "956-425-4700",
"fax_number": "956-425-6260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDDY CHILDRENS CLINIC, P.A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REDDY CHILDRENS CLINIC, P.A.",
"enumeration_date": "2007-04-23",
"last_updated": "2011-06-14",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "SURAPUREDDY",
"authorized_official_middle_name": "SEETHARAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-425-4700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "L0535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH PLAN",
"identifier": "123984",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALLEY HEALTH PLANS",
"identifier": "129771101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8K9920",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043239502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.