Organization Active NPI

Teens and Tots Pediatric Care PLLC

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1801374806
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N2316 Issued in TX
Legal business name
TEENS AND TOTS PEDIATRIC CARE PLLC
Practice address
17115 Red Oak Drive
Suite 113
Houston, TX 77090-2603
Phone
(832) 998-7367
Fax
(713) 472-0744
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Dr. Winifred Nancy Thomas, M.D.
Title
Owner
Phone
(832) 998-7367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X N2316 TX Primary

Addresses

Primary practice location

17115 Red Oak Drive
Suite 113
Houston, TX 77090-2603

Mailing address

19 Poplar Pine Court
Conroe, TX 77385-3693
Phone (832) 998-7367

Other identifiers 1

IdentifierTypeStateIssuer
3562811MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1801374806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 POPLAR PINE COURT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773853693",
            "telephone_number": "832-998-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DRIVE",
            "address_2": "SUITE 113",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902603",
            "telephone_number": "832-998-7367",
            "fax_number": "713-472-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEENS AND TOTS PEDIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-998-7367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N2316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3562811",
            "state": "TX"
        }
    ],
    "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 Aug 1, 2018; 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.