Superior Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J5220 Issued in TX

Legal business name

SUPERIOR PEDIATRICS

Practice address

3105 Ira E Woods Ave
Grapevine, TX 76051-3891

Phone

(817) 416-5372

Fax

(817) 416-5372

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Remigio Gungon Capati, M.D.

Title

Medical Director

Phone

(817) 416-5372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1881811149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 REGAL OAKS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923443",
            "telephone_number": "817-416-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513891",
            "telephone_number": "817-416-5372",
            "fax_number": "817-416-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "CAPATI",
        "authorized_official_first_name": "REMIGIO",
        "authorized_official_middle_name": "GUNGON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-416-5372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J5220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.