Pediatric Consultants of South Texas LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CONSULTANTS OF SOUTH TEXAS LLC

Practice address

1123 E 9TH St Ste 14
Mission, TX 78572-5465

Phone

(956) 605-6420

Fax

(956) 435-0290

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Russell Solis

Title

Manager

Phone

(956) 605-6420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1740032259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 E 9TH ST STE 14",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725465",
            "telephone_number": "956-605-6420",
            "fax_number": "956-435-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 E 9TH ST STE 14",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725465",
            "telephone_number": "956-605-6420",
            "fax_number": "956-435-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CONSULTANTS OF SOUTH TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-605-6420"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Harold J Pean, MD
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• Carla Fernanda Pena de la Paz, OTR
• Aaron Omar Pena, LPC
• Carlos Edwardo Pena
• Damian Pena

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.