Pedicare Childrens Clinic Pa
LBN: Pedicare Childrens Clinic Pa
Pedicare Childrens Clinic Pa is an health care organization with primary practice located at 2101 N Midland Dr Ste 14A , Midland TX 79707-5507. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Pedicare Childrens Clinic Pa can be contacted via phone (432) 695-6300, or through Okonkwo, Kingsley via phone (361) 334-0613.
Contact Information
Primary practice address
2101 N Midland Dr Ste 14A
Midland TX 79707-5507
Phone: (432) 695-6300
Fax: (326) 956-5714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q5518 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P4362 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1255862074 |
|---|---|
| LBN Legal business name | Pedicare Childrens Clinic Pa |
| DBA Doing business as | |
| Authorized official | Okonkwo, Kingsley Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2017 |
| Last updated | Feb 10th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255862074 | NPPES |
| Texas | Other | P4362 | STATE LICENSE |
| Texas | Other | AP144543 | STATE LICENSE |
| Texas | Other | Q5518 | STATE LICENSE |
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