Provider Demographics
NPI:1326138058
Name:CHILDREN OF TEXAS PEDIATRICS, PA
Entity Type:Organization
Organization Name:CHILDREN OF TEXAS PEDIATRICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:DONNEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-688-0088
Mailing Address - Street 1:10350 BANDERA RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5616
Mailing Address - Country:US
Mailing Address - Phone:210-688-0088
Mailing Address - Fax:210-688-0089
Practice Address - Street 1:10350 BANDERA RD STE 210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5616
Practice Address - Country:US
Practice Address - Phone:210-688-0088
Practice Address - Fax:210-688-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5308170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100001798361OtherHEALTHSCOPE INS.
TX948825OtherGALAXY INSURANCE
TX0077MDOtherBCBS GROUP#
TX160504423727OtherHUMANA INSURANCE
TX2100709OtherFIRST HEALTH INS.
TX2314125OtherUNITED HEALTHCARE INS.
TX2354469OtherCIGNA INS
TX8R6760OtherBCBS PROVIDER ID#
TX100001798361OtherHEALTHSCOPE INS.