MEDINA VALLEY PEDIATRICS, PLLC (NPI# 1568901619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568901619 |
| Entity Type | Organization |
| Organization Name | MEDINA VALLEY PEDIATRICS, PLLC |
| Practice Address |
1028 Country Ln Castroville TX 78009-5027 |
| Mailing Address |
1028 Country Lane Castroville TX 78009 |
| Practice Telephone | 2102326464 |
| Mailing Telephone | 8303552732 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | MRS. KATIE SUE RUSSELL (PRESIDENT) |
| Authorized Official Telephone | 8303552732 |
| Authorized Official Credential | RN, MSN, CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP115944 | TX | Ambulatory Health Care Facilities |
| Street Address |
1028 COUNTRY LN |
| City | CASTROVILLE |
| State | TX |
| Zip Code | 78009-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093240269 | Joseph Rangel | Pediatrics | 1028 Country Ln, Castroville, TX 78009-5027 | 2017-04-25 |
| 1144423658 | Katie Sue Russell | Nurse Practitioner | 1028 Country Ln, Castroville, TX 78009-5027 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
| 1487156287 | Castroville Dental Pllc | Dentist | 703 Old Us Hwy 90 E, Suite 108, Castroville, TX 78009 | 2018-03-07 |
| 1033636337 | Karen Mccauley | Nurse Practitioner | 1501 Houston St Ste B, Castroville, TX 78009 | 2017-08-28 |
| 1891217832 | Adrienne Irene Villarreal | Nurse Practitioner | 1051 Old Us Hwy 90 East, Castroville, TX 78009 | 2017-07-12 |
| 1912445487 | Wal-mart Stores Texas, LLC | Technician/Technologist | 1151 Us Hwy 90 E, Castroville, TX 78009 | 2017-02-06 |
| 1952719023 | Rodolfo Yanez | Pharmacist | 1151 Us Highway 90 E, Castroville, TX 78009 | 2014-08-01 |
| 1700140969 | Christodoulos S Christodoulou | Allergy & Immunology | 1050 Highway 16 S., Bandera, TX 78009 | 2012-07-02 |
| 1366672818 | Aria Dayani | Internal Medicine | 1051 Highway 90 East, Castroville, TX 78009 | 2009-07-18 |
| 1932374576 | Cindy Marie Crews | Dentist | 1314 Constantinople Street, Castroville, TX 78009 | 2008-04-24 |
| 1497803183 | Frank Raymond Danna II | Dentist | 411 Madrid, Castroville, TX 78009 | 2007-01-08 |
| Find all providers in zip 78009 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992837330 | Lloyd P Van Winkle, Md, Pa | Clinic/Center | 409 Madrid St, Castroville, TX 78009-4527 | 2007-03-12 |
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| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | CASTROVILLE |
| Zip Code | 78009 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.