| South Padre Island Pediatric Clinic Pa | |
|
110 Medical Dr Ste 104 Victoria TX 77904-3127 | |
| (361) 854-4626 | |
| (361) 572-4415 |
| Full Name | South Padre Island Pediatric Clinic Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 110 Medical Dr Ste 104, Victoria, Texas |
| Authorized Official Name and Position | Theresa Powell (PRACTICE ADMIN) |
| Authorized Official Contact | 5127893844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Padre Island Pediatric Clinic Pa 110 Medical Dr Ste 104 Victoria TX 77904-3127 Ph: (361) 854-4626 | South Padre Island Pediatric Clinic Pa 110 Medical Dr Ste 104 Victoria TX 77904-3127 Ph: (361) 854-4626 |
| NPI Number | 1851254700 |
|---|---|
| Provider Enumeration Date | 12/08/2025 |
| Last Update Date | 12/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851254700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gulshan K, Minocha. Md.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, 406, Victoria, TX 77901 Phone: 361-572-0000 Fax: 361-574-1787 | |
Javier Vazquez Ortiz M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Hospital Dr Ste 202, Victoria, TX 77901 Phone: 361-220-7016 Fax: 361-894-6373 | |
Frederick B Niegos Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 Phone: 361-574-1870 Fax: 361-574-1871 | |
Victoria Pediatrics & Adolescents Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Victoria Physicians Solutions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Divyatish Primary Care Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E San Antonio St Ste 304w, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Victoria Electrocardiography Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N Laurent St, Suite 550, Victoria, TX 77901 Phone: 361-572-0333 Fax: 361-572-0104 |