Southwest South Texas Center for Pediatric Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE

Practice address

1954 E Houston St
Suite 104
San Antonio, TX 78202-2951

Phone

(210) 576-0533

Fax

(210) 226-4676

NPI assigned

May 11, 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

Lisa Michelle Daluz

Title

Credentialing Manager

Phone

(210) 576-0533

Specialties & licenses 1

Addresses

Tax ID family

Southwest South Texas Center for Pediatric Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest South Texas Center for Pediatric Care

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1548338882
  NPD tax ID

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659321677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST",
            "address_2": "SUITE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241221",
            "telephone_number": "210-576-0533",
            "fax_number": "210-226-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 E HOUSTON ST",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022951",
            "telephone_number": "210-576-0533",
            "fax_number": "210-226-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALUZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "210-576-0533"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Pain & Injury
• Southwest Pain Clinic PA
• Southwest Preparatory School
• Southwest Psychiatric Physicians
• Southwest South Texas Center for Pediatric Care
• Southwest Texas Orthopaedic & Fracture Clinic PA
• Jean Souza, LPC
• Suzette M Sova-Robertson, LPC
• Sovereignty Functional Medicine
• Lana Altieri Sovie, M.S. CCC/SLP

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, 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.