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

Last updated

Dec 11, 2007By the provider in NPPES

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.NPI 1578583001

Title

Pediatrician

Phone

(361) 595-5526

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfredo R Andaya, M.D.

  • Pediatrics Physician
  • Kingsville, TX
  • NPI 1578583001
  Authorized official Same address or phone
• 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.