KIDSVILLE PEDIATRICS MANSFIELD – NPI #1154262889
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Health Care Provider Taxonomy Code for Pediatrics

KIDSVILLE PEDIATRICS MANSFIELD is a provider located in MANSFIELD, TX. NPPES recently assigned the NPI number 1154262889 to KIDSVILLE PEDIATRICS MANSFIELD on April 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

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 KIDSVILLE PEDIATRICS MANSFIELD below.

NPI Profile for
KIDSVILLE PEDIATRICS MANSFIELD

NPI Number
1154262889
Enumeration Date

(about 2 months 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
KIDSVILLE PEDIATRICS MANSFIELD
Primary location
1759 BROAD PARK CIR S STE 205
MANSFIELD, TX 76063-7834
Phone: (682) 341-3910 Fax: (682) 400-1288
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OMAR ASHOUR
MANAGER
Phone: (682) 232-4017
Updated
Certification Date
Apr 05, 2026

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
2080P0203X
- Pediatrics / Pediatric Critical Care 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.