IRIS WELL CHILD PHYSICALS NPI 1881834539

NPI Information

NPI: 1881834539
Provider Name: IRIS WELL CHILD PHYSICALS
Classification: Clinical Nurse Specialist - 364SP0200X
Specialization: Pediatrics
Entity Type: Organization
Address: 200 W. EDINBURG HWY 107
SUITE B
ELSA, TX
ZIP 78543
Phone: (956) 262-9805

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NPI Details

IRIS WELL CHILD PHYSICALS is a pediatrics clinical nurse specialist in Elsa, TX. IRIS WELL CHILD PHYSICALS NPI is 1881834539. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 W. EDINBURG HWY 107
SUITE B
ELSA, TX
ZIP 78543-274
Phone: (956) 262-9805
Fax: (956) 262-9233

The provider's authorized official is Iris Garcia .
The authorized official title is Owner and has the following contact phone number (956) 262-9805.

The enumeration date for this NPI number is 2/20/2009 and was last updated on 2/20/2009.

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
1	364SP0200X	Clinical Nurse Specialist	Pediatrics	533197	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8N8564	OTHER	TEXAS	BLUE CROSS BLUE SHIELD OF TEXAS
2	121084102	OTHER	TEXAS	MEDICAID-EPSDT
3	121084101	MEDICAID	TEXAS
4	121392	OTHER	TEXAS	SUPERIOR HEALTHPLAN NETWORK

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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