Provider Demographics
NPI:1457098030
Name:SOUTH TEXAS PEDIATRIC URGENT CARE, PLLC
Entity Type:Organization
Organization Name:SOUTH TEXAS PEDIATRIC URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-313-7010
Mailing Address - Street 1:519 N BEDELL AVE
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-4807
Mailing Address - Country:US
Mailing Address - Phone:830-350-4851
Mailing Address - Fax:
Practice Address - Street 1:519 N BEDELL AVE
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4807
Practice Address - Country:US
Practice Address - Phone:830-356-5155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty