Provider Demographics
NPI:1477186526
Name:MINDFUL PEDIATRICS, PLLC
Entity type:Organization
Organization Name:MINDFUL PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOLLY
Authorized Official - Middle Name:LUCIO
Authorized Official - Last Name:SEVIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-545-1327
Mailing Address - Street 1:415 PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-5433
Mailing Address - Country:US
Mailing Address - Phone:956-545-1327
Mailing Address - Fax:956-545-1326
Practice Address - Street 1:415 PALM BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-5433
Practice Address - Country:US
Practice Address - Phone:956-545-1327
Practice Address - Fax:956-545-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty