Provider Demographics
NPI:1629465943
Name:THE CHILDREN'S S.P.O.T.
Entity Type:Organization
Organization Name:THE CHILDREN'S S.P.O.T.
Other - Org Name:C OF C PEDIATRICS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE/BILLING DIRECTO
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-698-9844
Mailing Address - Street 1:6222 W INTERSTATE 10 STE 200
Mailing Address - Street 2:
Mailing Address - City:SANANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2015
Mailing Address - Country:US
Mailing Address - Phone:210-698-9844
Mailing Address - Fax:210-698-3220
Practice Address - Street 1:133 WINDY MEADOWS DR STE 102
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3102
Practice Address - Country:US
Practice Address - Phone:210-698-9844
Practice Address - Fax:210-698-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation