Texas Kidz Clinic LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

TEXAS KIDZ CLINIC LLC

Practice address

800 E Dove Ave
Suite H1
McAllen, TX 78504-2262

Phone

(956) 225-2401

Fax

(888) 794-8753

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kesturkoppal Muralidhara, MDNPI 1154303139

Title

President

Phone

(956) 225-2401

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kesturkoppal Muralidhara, M.D.

  • Pediatrics Physician
  • McAllen, TX
  • NPI 1154303139

  Adolescent Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1528325396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E DOVE AVE",
            "address_2": "SUITE H1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042262",
            "telephone_number": "956-225-2401",
            "fax_number": "888-794-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DOVE AVE",
            "address_2": "SUITE H1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042262",
            "telephone_number": "956-225-2401",
            "fax_number": "888-794-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KIDZ CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "MURALIDHARA",
        "authorized_official_first_name": "KESTURKOPPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-225-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215664802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296117901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296117902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Golden Health Care, LLC
• Texas Health Care Mobile Imaging
• Texas Health Care Mobile Imaging (Texas Health Care Imaging)
• Texas Health Care Mobile Imaging (Texas Health Care Imaging)
• Texas Institute of Nutrition
• Texas Medical Rehab, P. a.
• Texas Quality Prosthetics, Inc.
• Texas Star Home Health Care LLC
• Texas Wellness Health Group, PLLC (The Men Clinic)
• Alejandro A Tey, MD

• Pediatric Adolescent Medicine Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.