SOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE NPI 1659321677

NPI Information

  • NPI: 1659321677
  • Provider Name: SOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1954 E HOUSTON ST
    SUITE 104
    SAN ANTONIO, TX
    ZIP 78202
  • Phone: (210) 576-0533

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NPI Details

SOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE is a pediatrics in San Antonio, TX. The provider is a pediatrician 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. SOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE NPI is 1659321677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1954 E HOUSTON ST
SUITE 104
SAN ANTONIO, TX
ZIP 78202-951
Phone: (210) 576-0533
Fax: (210) 226-4676

The provider's authorized official is Lisa Michelle Daluz .
The authorized official title is Credentialing Manager and has the following contact phone number (210) 576-0533.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

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
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 3/30/2025

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