SOUTHEAST TEXAS PEDIATRIC CENTER PA – NPI #1720761075
Pediatrics

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.

SOUTHEAST TEXAS PEDIATRIC CENTER PA is a provider located in NEDERLAND, TX. NPPES has assigned the NPI number 1720761075 to SOUTHEAST TEXAS PEDIATRIC CENTER PA on August 11, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Sep 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST TEXAS PEDIATRIC CENTER PA below.

NPI Profile for
SOUTHEAST TEXAS PEDIATRIC CENTER PA

NPI Number
1720761075
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST TEXAS PEDIATRIC CENTER PA
Doing Business As (dba): SOUTHEAST TEXAS PEDIATRIC CENTER PA
Primary location
2400 HIGHWAY 365 STE 107
NEDERLAND, TX 77627-6268
Phone: (409) 729-9200 Fax: (409) 729-9235
1 Other location(s):
8333 9th Ave Ste B
Port Arthur, TX 77642-8151
Phone: (409) 729-9200
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERTO MAYOR
ADMINISTRATOR
Phone: (409) 729-9200
Updated
Certification Date
Sep 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
363LP0200X
- Nurse Practitioner / Pediatrics
2080A0000X
- Pediatrics / Adolescent Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.