Children's Physician Services of South Texas

NPI #1154555928 in Victoria, Texas

Provider Information

NPI Number
1154555928
Entity Type
Organization
Organization Name
Children's Physician Services of South Texas
Subpart
Yes (part of a larger organization)
Parent Organization
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Primary Specialty
Pediatrics
Enumeration Date
May 8, 2009
Last Updated
Mar 29, 2023

Practice Location

Address
115 MEDICAL DR STE 201
State
Texas
ZIP Code
77904-3105
Phone
(361) 572-1045

Authorized Official

Name
DERRICK PARKER
Title
ADMINISTRATOR
Phone
(361) 694-5081

Specialties & Taxonomy Codes

Specialty
Pediatrics

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