Longhorn Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

F3737 Issued in TX

Legal business name

LONGHORN PEDIATRICS PA

Practice address

2911 Medical Arts St
Suite 20
Austin, TX 78705-3376

Phone

(512) 236-9306

Fax

(512) 236-9978

NPI assigned

Sep 19, 2007

Last updated

Jan 17, 2012By 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

Rodolfo Cantu Barrera, D.O.

Title

President

Phone

(512) 236-9306

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1710173257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST",
            "address_2": "SUITE 20",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053376",
            "telephone_number": "512-236-9306",
            "fax_number": "512-236-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST",
            "address_2": "SUITE 20",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053376",
            "telephone_number": "512-236-9306",
            "fax_number": "512-236-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGHORN PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "CANTU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-236-9306",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F3737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185336801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Longhorn Dental
• Longhorn Dental
• Longhorn Emergency Medical Associates PA
• Longhorn Observation Medical Associates PA
• Longhorn Pediatric Dentistry and Orthodontics
• Longhorn Senior Care LLC (Caring Senior Service of Central Texas)
• Longhorn Surgical Assists, PLLC
• Longhorn Village
• Longhorn Village
• Longhorns Inhome Health Services LLC (Longhorns Home Health Services)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.