GERONIMO VILLAGE PEDIATRICS, PLLC
NPI 1356800791
Clinic/Center - Primary Care in Seguin, TX

Q: What is Geronimo Village Pediatrics, PLLC's NPI number?

The NPI number for Geronimo Village Pediatrics, PLLC is 1356800791. It was assigned to this organization in the NPPES registry on March 15, 2019. The provider is doing business as Geronimo Village Pediatrics.

Q: What is Geronimo Village Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 15, 2019

121 DENNIS DR, SEGUIN, TX 78155(830) 372-8981(830) 372-8984 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Mar 15, 2019 (2 updates tracked since 2019).

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About Geronimo Village Pediatrics, Pllc NPPES

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

GERONIMO VILLAGE PEDIATRICS, PLLC (NPI 1356800791), doing business as Geronimo Village Pediatrics, is a healthcare organization registered as a primary care in Seguin, Texas and active in the NPI registry since March 2019. The organization lists Jodi Gayle Koenig, Owner, as its authorized official.

NPPES Registry Identity

NPI1356800791

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGERONIMO VILLAGE PEDIATRICS, PLLC

Location Address121 DENNIS DRSeguin, TX 78155-0402

Mailing Address121 Dennis DrSeguin, TX 78155-0402 · (830) 372-8981 · Fax (830) 372-8984

Phone(830) 372-8981

Fax(830) 372-8984

Organization SubpartNo

Authorized OfficialJodi Gayle KoenigOwner · (830) 372-8981

Enumeration DateMarch 15, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1356800791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

121 DENNIS DR, Seguin, TX 78155

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Other Names 1

Doing Business AsGeronimo Village Pediatrics

Other Identifiers 1

Medicaid339554303TX

Other Providers at the Same Location NPPES

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

JODI GAYLE KOENIG PNP-AC

Nurse Practitioner (Pediatrics)

121 DENNIS DR
SEGUIN, TX 78155

Guadalupe County (308) 372-8981

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 Geronimo Village Pediatrics, PLLC's NPI number?

The NPI number for Geronimo Village Pediatrics, PLLC is 1356800791. It was assigned to this organization in the NPPES registry on March 15, 2019. The provider is doing business as Geronimo Village Pediatrics.

Where is Geronimo Village Pediatrics, PLLC located?

Geronimo Village Pediatrics, PLLC is located at 121 Dennis Dr, Seguin, TX 78155. The listed phone number is (830) 372-8981.

What is Geronimo Village Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Geronimo Village Pediatrics, PLLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.