PEDIATRIC EAR, NOSE & THROAT INSTITUTE OF SOUTH TEXAS
NPI 1093719379
Specialist in San Antonio, TX

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since June 02, 2005

16723 HUEBNER RD, SAN ANTONIO, TX 78248(210) 733-4368(210) 402-3417 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Pediatric Ear, Nose & Throat Institute Of South Texas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC EAR, NOSE & THROAT INSTITUTE OF SOUTH TEXAS (NPI 1093719379) is a healthcare organization registered as a specialist in San Antonio, Texas and active in the NPI registry since June 2005. The organization lists Benjamin Salazar, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1093719379

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePEDIATRIC EAR, NOSE & THROAT INSTITUTE OF SOUTH TEXAS

Location Address16723 HUEBNER RDSan Antonio, TX 78248-2342

Mailing AddressPo Box 29749San Antonio, TX 78229-0749 · (210) 733-4368 · Fax (210) 402-3417

Phone(210) 733-4368

Fax(210) 402-3417

Organization SubpartNo

Authorized OfficialBenjamin SalazarOffice Administrator · (210) 733-4268

Enumeration DateJune 2, 2005

Last NPPES UpdateMay 9, 2011

✔ NPI 1093719379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

16723 HUEBNER RD, San Antonio, TX 78248

Open in Google Maps ↗

Other Identifiers 3

Other095065102Cidc Group

Other095065101Medicaid Tip #

Medicaid095065103TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2044678

Pediatric Ent Institute Of South Texas · San Antonio, TX

Expired · Jul 26, 2026

CLIA Number45D2044678

Laboratory TypePhysician Office

Certificate Effective DateJuly 27, 2024

Certificate Expiration DateJuly 26, 2026

Laboratory DirectorDonald R. Moe

Laboratory Phone(210) 614-0171

Laboratory LocationPediatric Ent Institute Of South Texas16723 Huebner Attn Kahley, San Antonio, TX 78248

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2141478

Pediatric Urology Of San Antonio PLLC · San Antonio, TX

Expired · Dec 13, 2025

CLIA Number45D2141478

Laboratory TypePhysician Office

Certificate Effective DateDecember 14, 2023

Certificate Expiration DateDecember 13, 2025

Laboratory DirectorJuan C. Prieto

Laboratory Phone(210) 615-1600

Laboratory LocationPediatric Urology Of San Antonio PLLC4499 Medical Drive, Ste 360, San Antonio, TX 78229

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2141429

Pediatric Private Duty Nursing · San Antonio, TX

Expired · Dec 12, 2025

CLIA Number45D2141429

Laboratory TypeHome Health Agency

Certificate Effective DateDecember 13, 2023

Certificate Expiration DateDecember 12, 2025

Laboratory DirectorAmanda W. Cabler

Laboratory Phone(210) 251-4316

Laboratory LocationPediatric Private Duty Nursing4207 Gardendale Drive, Suite 100b, San Antonio, TX 78229

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT DUHAIME PA-C

Physician Assistant