Kingsville Pediatric Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

J4694 Issued in TX

Legal business name

KINGSVILLE PEDIATRIC CLINIC

Practice address

1311 General Cavazos Blvd Ste J
Kingsville, TX 78363-7129

Phone

(361) 595-5526

Fax

(361) 595-1050

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alfredo R Andaya Jr., M.D.

Title

Pediatrician

Phone

(361) 595-5526

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Unam Cho, M.D.

  • Pediatrics Physician
  • Kingsville, TX
  • NPI 1548273204
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1962685057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 GENERAL CAVAZOS BLVD STE J",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637129",
            "telephone_number": "361-595-5526",
            "fax_number": "361-595-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GENERAL CAVAZOS BLVD STE J",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637129",
            "telephone_number": "361-595-5526",
            "fax_number": "361-595-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSVILLE PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "ANDAYA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "361-595-5526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie L King, LPC
• Kingsville Cardiovascular Clinic, PA
• Kingsville Dental PLLC
• Kingsville Isd
• Kingsville Medical Center, PA
• Kingsville Sleep Center Inc.
• Kingsville Sleep Clinic, LLC
• Kleberg County
• Kleberg County Human Services
• Kleberg County Nursing and Rehabilitation LP

• Specialist in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.