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NPI 1568072544 · live from the CMS NPI Registry

Advanced Kids Care 2, P.A.

Pediatrics in Mission, TX. National Provider Identifier 1568072544, active.

NPI record

NPI1568072544 Type 2 · organization
StatusActive
Primary specialtyPediatrics 208000000X
Practice location2112 E Griffin Pkwy, Mission, TX 78572
Practice phone956-904-2202
EnumeratedAugust 5, 2020
Last updatedOctober 13, 2023
Authorized officialJanelle Martinez, Office Administrator

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant363A00000X—
Nurse Practitioner, Family363LF0000X—
Nurse Practitioner, Pediatrics363LP0200X—
Pediatrics primary208000000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.