Children's Heart Specialist, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K4191 Issued in TX

Legal business name

CHILDREN'S HEART SPECIALIST, PA

Practice address

343 W Houston St
Suite 704
San Antonio, TX 78205-2107

Phone

(210) 886-9725

Fax

(210) 886-0093

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Delia Gonzales-Conover, LVN

Title

Office Manager

Phone

(210) 886-9725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881734341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 704",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-886-9725",
            "fax_number": "210-886-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 704",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-886-9725",
            "fax_number": "210-886-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEART SPECIALIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES-CONOVER",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-886-9725",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Childers, AGACNP
• Una Maguire Childers, PA-C
• Children of Texas Pediatrics, PA
• Children's Eye Center of South Texas, P.a.
• Children's Heart and Electrophysiology Center of San Antonio, PLLC
• Children's Hematology & Oncology Center
• Children's Night Clinic, P.a.
• Childrens Bereavement Center of South Texas
• Childrens Critical Care Specialists PLLC
• Derrick Childress Sr.

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.