NPIMap

Organization Active NPI

Clinica Pediatrica Hispana

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1710159538
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L3398 Issued in TX
Legal business name
CLINICA PEDIATRICA HISPANA
Practice address
2102 Bauer Dr
Houston, TX 77080-5527
Phone
(713) 468-0222
Fax
(713) 468-0233
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Ms. Gloria Mendoza
Title
Vice President
Phone
(713) 468-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X L3398 TX Primary

Addresses

Primary practice location

2102 Bauer Dr
Houston, TX 77080-5527

Mailing address

2102 Bauer Dr
Houston, TX 77080-5527
Phone (713) 468-0222

National Provider Directory

National Provider Directory
Tax ID family
Clinica Pediatrica Hispana2 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.

Locations

2102 Bauer Dr
Houston, TX 77080
Phone (713) 468-0222

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1710159538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 BAUER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770805527",
            "telephone_number": "713-468-0222",
            "fax_number": "713-468-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 BAUER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770805527",
            "telephone_number": "713-468-0222",
            "fax_number": "713-468-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PEDIATRICA HISPANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-468-0222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.