Compassionate Care Pediatric, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J2456 Issued in TX

Legal business name

COMPASSIONATE CARE PEDIATRIC, PLLC

Practice address

5113 S Jackson Rd
Edinburg, TX 78539-3184

Phone

(956) 467-8657

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Israel G Mata, M.D.

Title

Medical Director

Phone

(956) 467-8657

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1962813477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393184",
            "telephone_number": "956-467-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393184",
            "telephone_number": "956-467-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE PEDIATRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-467-8657",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J2456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Conquest Plaza Pharmacy LLC.
• Carlos Andres Contreras

• Pediatrics Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.