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HEAD PEDIATRICS PLLC
NPI 1255725982
Pediatrics in Nacogdoches, TX

Active since March 19, 2015CLIA 45D2135467 · Waiver
2714 N UNIVERSITY DR, STE 100, NACOGDOCHES, TX 75965(936) 305-5050(936) 305-5050 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Head Pediatrics Pllc NPPES

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

HEAD PEDIATRICS PLLC (NPI 1255725982) is a healthcare organization registered as a pediatrics in Nacogdoches, Texas and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Ryan Head, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1255725982
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHEAD PEDIATRICS PLLC
Location Address2714 N UNIVERSITY DR, STE 100Nacogdoches, TX 75965-2973
Mailing Address2714 N University Dr, Ste 100Nacogdoches, TX 75965-2973 · (936) 305-5050 · Fax (936) 305-5050
Phone(936) 305-5050
Fax(936) 305-5050
Organization SubpartNo
Authorized OfficialRyan HeadSole Member · (936) 305-5050
Enumeration DateMarch 19, 2015
✔ NPI 1255725982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · Q3007
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2714 N UNIVERSITY DR, Nacogdoches, TX 75965
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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

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 45D2135467

Head Pediatrics, PLLC · Nacogdoches, TX
Active · expires Aug 21, 2027
CLIA Number45D2135467
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorRyan E. Head
Laboratory Phone(936) 305-5050
Laboratory LocationHead Pediatrics, PLLC625 Russell Blvd, Nacogdoches, TX 75965
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Head Pediatrics PLLC's NPI number?

The NPI number for Head Pediatrics PLLC is 1255725982. It was assigned to this organization in the NPPES registry on March 19, 2015.

Where is Head Pediatrics PLLC located?

Head Pediatrics PLLC is located at 2714 N University Dr Ste 100, Nacogdoches, TX 75965. The listed phone number is (936) 305-5050.

What is Head Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Head Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2135467) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Head Pediatrics PLLC was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.