South Padre Island Pediatric Clinic PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SOUTH PADRE ISLAND PEDIATRIC CLINIC PA

Practice address

110 Medical Dr Ste 104
Victoria, TX 77904-3127

Phone

(361) 854-4626

Fax

(361) 572-4415

NPI assigned

Dec 8, 2025

Organization subpart

No

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

Authorized official

Name

Theresa Powell

Title

Practice Admin

Phone

(512) 789-3844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1851254700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEDICAL DR STE 104",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043127",
            "telephone_number": "361-854-4626",
            "fax_number": "361-572-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL DR STE 104",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043127",
            "telephone_number": "361-854-4626",
            "fax_number": "361-572-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PADRE ISLAND PEDIATRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "512-789-3844"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Patricia Solarte Zabaleta, MD
• David J Solis, CRNA
• Christie Ann Soliz, M.ED. BCBA
• Solo Anesthesia Services, PLLC
• South Coast Health Care of Texas, PA
• South Texas Chiropractic & Rehab
• South Texas Eye Associates (South Texas Eye Center)
• South Texas Eye Surgicenter Inc
• South Texas Plastic Surgery, PA
• Peyton Ratliff Speed

• Rural Health Clinic/Center in Victoria, TX
• Providers in Victoria, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.