WISHING WELL CHILDREN'S CLINIC, PLLC – NPI #1619440450
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

WISHING WELL CHILDREN'S CLINIC, PLLC is a provider located in KATY, TX. NPPES has assigned the NPI number 1619440450 to WISHING WELL CHILDREN'S CLINIC, PLLC on January 04, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 2 years ago on May 16, 2024. 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 WISHING WELL CHILDREN'S CLINIC, PLLC below.

NPI Profile for
WISHING WELL CHILDREN'S CLINIC, PLLC

NPI Number
1619440450
Enumeration Date

(more than 7 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
WISHING WELL CHILDREN'S CLINIC, PLLC
Primary location
1259 FM 1463
SUITE 300
KATY, TX 77494
Phone: (832) 856-4600 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROSABELLE MCCONKEY
PEDIATRICIAN
Phone: (832) 856-4600
Updated
Certification Date
May 16, 2024

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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)

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.