Provider Demographics
NPI:1225206865
Name:ALL CHILDREN'S PEDIATRIC CLINIC, P.A.
Entity Type:Organization
Organization Name:ALL CHILDREN'S PEDIATRIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:MOGHARBEL
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-994-8707
Mailing Address - Street 1:4221 N CONWAY AVE STE D
Mailing Address - Street 2:
Mailing Address - City:PALMHURST
Mailing Address - State:TX
Mailing Address - Zip Code:78573-1532
Mailing Address - Country:US
Mailing Address - Phone:956-583-5437
Mailing Address - Fax:956-584-6888
Practice Address - Street 1:4221 N CONWAY AVE STE D
Practice Address - Street 2:
Practice Address - City:PALMHURST
Practice Address - State:TX
Practice Address - Zip Code:78573-1532
Practice Address - Country:US
Practice Address - Phone:956-583-5437
Practice Address - Fax:956-584-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty