Provider Demographics
NPI:1710164215
Name:FILOSA CHILDREN'S CLINIC
Entity Type:Organization
Organization Name:FILOSA CHILDREN'S CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LILIANA
Authorized Official - Last Name:FILOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:956-585-6300
Mailing Address - Street 1:1240 E BUSINESS HIGHWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-9617
Mailing Address - Country:US
Mailing Address - Phone:956-585-6300
Mailing Address - Fax:956-583-5705
Practice Address - Street 1:1240 E BUSINESS HIGHWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9617
Practice Address - Country:US
Practice Address - Phone:956-585-6300
Practice Address - Fax:956-583-5705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4426208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144224601OtherTPI