Active NPI
Child Study Clinic
Doing business as South Texas Assessment & Referral Services
- Specialist
- Victoria, TX
National Provider Identifier
1871740860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G6459
- Legal business name
- CHILD STUDY CLINIC
- Doing business as
- South Texas Assessment & Referral Services
- Practice address
- 117 Medical Dr Ste 4
Victoria, TX 77904-3114 - Phone
- (361) 575-0681
- Fax
- (361) 575-0100
- NPI assigned
- Aug 21, 2008
- Last updated
- Feb 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Serrano
- Title
- Clinic Coordinator I
- Phone
- (361) 575-0681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G6459 | TX | Primary |
Addresses
Primary practice location
117 Medical Dr Ste 4
Victoria, TX 77904-3114
Mailing address
117 Medical Dr Ste 4
Victoria, TX 77904-3114
Phone (361) 575-0681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119071202 | Medicaid | TX |
Other names 1
- South Texas Assessment & Referral Services
National Provider Directory
National Provider Directory- Tax ID family
- Child Study Clinic
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba S.T.a.R.S.
- Developmental - Behavioral Pediatrics Physician
- Victoria, TX
- NPI 1467576041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233792000000",
"number": "1871740860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MEDICAL DR STE 4",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043114",
"telephone_number": "361-575-0681",
"fax_number": "361-575-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MEDICAL DR STE 4",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043114",
"telephone_number": "361-575-0681",
"fax_number": "361-575-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD STUDY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-21",
"last_updated": "2009-02-05",
"status": "A",
"authorized_official_last_name": "SERRANO",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "CLINIC COORDINATOR I",
"authorized_official_telephone_number": "361-575-0681"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G6459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119071202",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Texas Assessment & Referral Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Victoria, TX
- Brad Chesak, CCP,LP
- Laura Chesak, PT
- Child Study Clinic (S.T.a.R.S.)
- Child Study Clinic (S.T.a.R.S.)
- Child Study Clinic (S.T.a.R.S.)
- Children's Physician Services of South Texas
- Natalie Dawn Chilton, CRNA
- Carlos Enrique Chinea, M.D.
- Christi M Tupa MD PA
- Christian Provider Services Inc (Christian Medical Supplies)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.