The Pediatric Center of South Texas

Primary specialty

SpecialistTaxonomy code 174400000X

License

H2426 Issued in TX

Legal business name

THE PEDIATRIC CENTER OF SOUTH TEXAS

Doing business as

The Pediatric Center

Practice address

5323 S McColl Rd
Suite 102
Edinburg, TX 78539-9115

Phone

(956) 992-9200

Fax

(956) 992-9209

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Yvette Michelle Garza

Title

Office Administrator

Phone

(956) 992-9200

Specialties & licenses 3

Addresses

Other names 1

• The Pediatric Center Doing business as

Locations

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659363497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 S MCCOLL RD",
            "address_2": "SUITE 102",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399115",
            "telephone_number": "956-992-9200",
            "fax_number": "956-992-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 S MCCOLL RD",
            "address_2": "SUITE 102",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399115",
            "telephone_number": "956-992-9200",
            "fax_number": "956-992-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC CENTER OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "956-992-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H2426",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J8999",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Specialist 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.