| South Padre Island Pediatric Clinic Pa | |
|
1210 Gregory St Ste 2 Taft TX 78390-3045 | |
| (361) 528-2595 | |
| Not Available |
| Full Name | South Padre Island Pediatric Clinic Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1210 Gregory St Ste 2, Taft, Texas |
| Authorized Official Name and Position | Theresa Powell (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3618544626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Padre Island Pediatric Clinic Pa 3845 S Padre Island Dr Corpus Christi TX 78415-2919 Ph: (361) 854-4626 | South Padre Island Pediatric Clinic Pa 1210 Gregory St Ste 2 Taft TX 78390-3045 Ph: (361) 528-2595 |
| NPI Number | 1538035035 |
|---|---|
| Provider Enumeration Date | 10/13/2025 |
| Last Update Date | 10/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538035035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jose Benamu M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Gregory St, Taft, TX 78390 Phone: 361-528-4000 Fax: 361-528-3711 | |
Rural Health Solutions Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Gregory, Suite # 2, Taft, TX 78390 Phone: 361-528-2595 Fax: 361-528-3452 |