THE PEDIATRIC CLINIC P.A. NPI 1437984259

NPI Information

  • NPI: 1437984259
  • Provider Name: THE PEDIATRIC CLINIC, P.A.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 45D0482031
  • Address: 2001 N JEFFERSON AVE STE 300
    MOUNT PLEASANT, TX
    ZIP 75455
  • Phone: (903) 572-9823

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NPI Details

THE PEDIATRIC CLINIC, P.A. is a rural health clinic center in Mount Pleasant, TX. THE PEDIATRIC CLINIC, P.A. NPI is 1437984259. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2001 N JEFFERSON AVE STE 300
MOUNT PLEASANT, TX
ZIP 75455-375
Phone: (903) 572-9823
Fax: (903) 572-4812

The provider's authorized official is Suzan Colvin .
The authorized official title is Administrtor and has the following contact phone number (903) 572-9823.

The CLIA number assigned to this NPI record is 45D0482031 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2024 and was last updated on 9/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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