| The Pediatric Clinic, P.a. | |
|
2001 N Jefferson Ave Suite 300 Mount Pleasant TX 75455-2371 | |
| (903) 572-9823 | |
| (903) 572-4812 |
| Full Name | The Pediatric Clinic, P.a. |
|---|---|
| Speciality | Pediatrics |
| Location | 2001 N Jefferson Ave, Mount Pleasant, Texas |
| Authorized Official Name and Position | Michael Henry (OWNER) |
| Authorized Official Contact | 9035729823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pediatric Clinic, P.a. 2001 N Jefferson Ave Ste 300 Mount Pleasant TX 75455-2375 Ph: (903) 572-9823 | The Pediatric Clinic, P.a. 2001 N Jefferson Ave Suite 300 Mount Pleasant TX 75455-2371 Ph: (903) 572-9823 |
| NPI Number | 1821085721 |
|---|---|
| Provider Enumeration Date | 10/05/2005 |
| Last Update Date | 09/17/2025 |
| Medicare PECOS PAC ID | 4880747534 |
|---|---|
| Medicare Enrollment ID | O20090729000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821085721 | NPI | - | NPPES |
| Provider Name | Dana L Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659392421 PECOS PAC ID: 1759355613 Enrollment ID: I20040825000819 |
| Provider Name | Joel Don Chapman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023005147 PECOS PAC ID: 5890988430 Enrollment ID: I20101015000175 |
| Provider Name | J. Colton Bradshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902893019 PECOS PAC ID: 1850585134 Enrollment ID: I20101101000231 |
| Provider Name | Marc E Kimball |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407843402 PECOS PAC ID: 5496949711 Enrollment ID: I20101101000723 |
| Provider Name | Susan Colvert Droske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982672010 PECOS PAC ID: 9830344928 Enrollment ID: I20130220000505 |
| Provider Name | Michael Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174841902 PECOS PAC ID: 7618105610 Enrollment ID: I20140121001941 |
| Provider Name | Lena Brittany Ingraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884835 PECOS PAC ID: 6901123967 Enrollment ID: I20150401000047 |
| Provider Name | Christopher Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083975452 PECOS PAC ID: 7618289034 Enrollment ID: I20150626001545 |
| Provider Name | Alban Tomaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578097036 PECOS PAC ID: 0042625659 Enrollment ID: I20210212000246 |
Titus County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 Fax: 903-577-6280 | |
Titus County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-572-2273 Fax: 903-572-0696 | |
Titus County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Harts Bluff Rd, Mount Pleasant, TX 75455 Phone: 903-577-9355 Fax: 903-434-8081 | |
The Pediatric Clinic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 N Jefferson Ave Ste 300, Mount Pleasant, TX 75455 Phone: 903-572-9823 Fax: 903-572-4812 | |
Minadeo Eye Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-572-6655 Fax: 903-572-0213 | |
Titus County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 Linda Drive, Mount Pleasant, TX 75455 Phone: 903-434-8066 Fax: 903-577-6562 | |
Titus County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-2273 Fax: 903-572-0696 |