| South Padre Island Pediatric Center | |
|
301 S San Patricio St Sinton TX 78387-2432 | |
| (361) 364-3355 | |
| (361) 851-5193 |
| Full Name | South Padre Island Pediatric Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 301 S San Patricio St, Sinton, Texas |
| Authorized Official Name and Position | Sandy Gonzalez (OFFICE MANAGER) |
| Authorized Official Contact | 3612251055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Padre Island Pediatric Center 301 S San Patricio St Sinton TX 78387-2432 Ph: (361) 364-3355 | South Padre Island Pediatric Center 301 S San Patricio St Sinton TX 78387-2432 Ph: (361) 364-3355 |
| NPI Number | 1720233687 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 11/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720233687 | NPI | - | NPPES |
| 127051407 | Medicaid | TX | |
| 121157503 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | E4618 (Texas) | Primary |
| 261QR1300X | Clinic/center - Rural Health | G6791 (Texas) | Secondary |
Community Action Health Center Sinton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 621 E Sinton St, Sinton, TX 78387 Phone: 361-364-4486 | |
Community Action Corporation Of South Texas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1133 E Sinton St, Sinton, TX 78387 Phone: 361-364-4486 |