Provider Demographics
NPI:1437271954
Name:NEW HORIZON PEDIATRICS, P.A.
Entity Type:Organization
Organization Name:NEW HORIZON PEDIATRICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODIN
Authorized Official - Middle Name:ROLANDO
Authorized Official - Last Name:MENDOZACASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-857-6390
Mailing Address - Street 1:6264 BANDOLERO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1923
Mailing Address - Country:US
Mailing Address - Phone:915-857-6390
Mailing Address - Fax:915-857-6386
Practice Address - Street 1:1860 DEAN MARTIN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3949
Practice Address - Country:US
Practice Address - Phone:915-857-6390
Practice Address - Fax:915-857-6386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3752208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH50387Medicare UPIN