123 Grow With US Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P9390 Issued in TX

Legal business name

123 GROW WITH US PEDIATRICS, PA

Practice address

11836 Bandera Rd
Helotes, TX 78023-4132

Phone

(682) 551-8494

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Emad Lawendy, MD

Title

Owner

Phone

(682) 551-8494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1619424710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11836 BANDERA RD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234132",
            "telephone_number": "682-551-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11836 BANDERA RD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234132",
            "telephone_number": "682-551-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "123 GROW WITH US PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "LAWENDY",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-551-8494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P9390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Nicole Acosta
• Celeste Acosta, O.D.

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

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