Pedicare Childrens Clinic Pa
Pediatrics
Pedicare Childrens Clinic Pa is a Midland, Texas based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2101 N Midland Dr Ste 14a, Midland, Texas - 79707-5507. They can be contacted on phone at
432-695-6300 and fax number 326-956-5714.
NPI number (Unique professional ID) for Pedicare Childrens Clinic Pa is
1255862074 which was assigned by NPPES on 23 Mar, 2017 and it was last updated on 10 Feb, 2022.
Pedicare Childrens Clinic Pa license number is
P4362 for Pediatrics (208000000X) in Texas.
Pedicare Childrens Clinic Pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pedicare Childrens Clinic Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pedicare Childrens Clinic Pa |
|---|
Business Address:
Pedicare Childrens Clinic Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2101 N Midland Dr Ste 14a
Midland, TX, 79707-5507
United States |
|---|
| Phone Number : | 432-695-6300 |
|---|
| Fax Number : | 326-956-5714 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255862074 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 23 Mar, 2017 |
|---|
| Last Updated On : | 10 Feb, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kingsley Okonkwo |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | PRESIDENT |
|---|
| Phone Number : | 361-334-0613 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pedicare Childrens Clinic Pa are as mentioned. Primary taxonomy code for Pedicare Childrens Clinic Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | Q5518 | TX |
| 363LF0000X | Nurse Practitioner Family | No | | |
| 208000000X | Pediatrics | Yes | P4362 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Pedicare Childrens Clinic Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| AP144543 | Other | TX | ALL |
| P4362 | Other | TX | STATE LICENSE |
| Q5518 | Other | TX | STATE LICENSE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
912 E 5TH ST,
ODESSA, TX, 79761-4605
United States | ODESSA, TX | 432-334-8845 |
6326 YORKTOWN BLVD STE 1A,
CORPUS CHRISTI, TX, 78414-5861
United States | CORPUS CHRISTI, TX | 361-334-0613 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2101 N Midland Dr Ste 14a
Midland, TX, 79707-5507
United States |
|---|
| Phone Number : | 432-695-6300 |
|---|
| Fax Number : | 432-695-6571 |
|---|
Business Location:
Patients can refer following map for directions to
Pedicare Childrens Clinic Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.