Hometown Pediatric Care, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J4080 Issued in TX

Legal business name

HOMETOWN PEDIATRIC CARE, PA

Practice address

9410 NE Zac Lentz Pkwy,
Suite 202
Victoria, TX 77904-3108

Phone

(361) 579-1333

Fax

(361) 579-1334

NPI assigned

Oct 5, 2007

Last updated

Jun 12, 2025By 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

Dr. Dillon Kelby Lesak, DONPI 1598326001

Title

Owner/Pediatrician

Phone

(361) 579-1333

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Stephen M. Dentler, DO, PA Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dillon Kelby Lesak, DO

  • Pediatrics Physician
  • Victoria, TX
  • NPI 1598326001
  NPD Authorized official
• Stephen Max Dentler, DO

  • Pediatrics Physician
  • Victoria, TX
  • NPI 1225003296
  NPD (past)
• Rachel Lynn Hanslik, PA-C

  • Physician Assistant
  • Victoria, TX
  • NPI 1083847842
  NPD (past)
• Sara Marie Rubio, APRN CPNP-PC

  • Pediatric Nurse Practitioner
  • Victoria, TX
  • NPI 1194437459
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1841488657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY,",
            "address_2": "SUITE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043108",
            "telephone_number": "361-579-1333",
            "fax_number": "361-579-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY,",
            "address_2": "SUITE 202",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043108",
            "telephone_number": "361-579-1333",
            "fax_number": "361-579-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PEDIATRIC CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "LESAK",
        "authorized_official_first_name": "DILLON",
        "authorized_official_middle_name": "KELBY",
        "authorized_official_title_or_position": "OWNER/PEDIATRICIAN",
        "authorized_official_telephone_number": "361-579-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J4080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0087CL",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111836604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10049506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111836605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5965594",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen M. Dentler, DO, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lauren Ashley Holloway, LPC
• Kelly Lynn Holman, FNP-C
• Darla Holmberg-Abel, PHD, LPC, CSC
• Jaime D Holub, PTA
• Caia Dawn Homerstad Williams, O.D.
• Hong T. Dang, O.D., P.a. (Access Eye Care)
• Hop Medical Services, M.D.P.a.
• Hospice of South Texas, Inc (Palliative Care Center of South Texas)
• Hospice of South Texas, Inc
• Kaci Hotz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.