Provider Demographics
NPI:1972810083
Name:KIDS CARE PEDIATRICS, PA.
Entity Type:Organization
Organization Name:KIDS CARE PEDIATRICS, PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIPESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-668-8900
Mailing Address - Street 1:5800 BELLAIRE BLVD
Mailing Address - Street 2:#102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5537
Mailing Address - Country:US
Mailing Address - Phone:713-668-8900
Mailing Address - Fax:713-668-8903
Practice Address - Street 1:5800 BELLAIRE BLVD
Practice Address - Street 2:#102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5537
Practice Address - Country:US
Practice Address - Phone:716-668-8900
Practice Address - Fax:713-668-8903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX285231103Medicaid
TX285231104Medicaid
TX285231101Medicaid
TX285231102Medicaid