PEDIATRIC CONSULTANTS OF SOUTH TEXAS LLC
NPI 1740032259
Pediatrics in Mission, TX

Active since April 05, 2024CLIA 45D2334066 · Accreditation
1123 E 9TH ST STE 14, MISSION, TX 78572(956) 605-6420(956) 435-0290 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2024, Apr 5, 2024 (2 updates tracked since 2024).

  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 45D2334066
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-13-2027

About PEDIATRIC CONSULTANTS OF SOUTH TEXAS LLC

This page provides the complete NPI Profile along with additional information for Pediatric Consultants Of South Texas Llc, a pediatrician established in Mission, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1740032259 assigned on April 2024. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Russell Solis (Manager)

NPI
1740032259 Verify this NPI
Provider Name
PEDIATRIC CONSULTANTS OF SOUTH TEXAS LLC
Entity Type
Organization
Location Address
1123 E 9TH ST STE 14 MISSION, TX 78572
Location Phone
(956) 605-6420
Location Fax
(956) 435-0290
Mailing Address
1123 E 9TH ST STE 14 MISSION, TX 78572
Mailing Phone
(956) 605-6420
Mailing Fax
(956) 435-0290
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2024
Last Update Date
11-12-2024
Code Navigator

A pediatrician like Pediatric Consultants Of South Texas Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUSSELL SOLIS

Authorized Official Title
MANAGER
Authorized Official Phone
(956) 605-6420

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2334066
Facility Type
Physician Office
Certificate Effective Date
November 14, 2025
Certificate Expiration Date
November 13, 2027
Laboratory Director
KRISTY OCHOA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Pediatric Consultants Of South Texas Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for PEDIATRIC CONSULTANTS OF SOUTH TEXAS LLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Occupational Medicine)
1123 E 9TH ST STE 14
MISSION, TX 78572
Physician Assistant (Medical)
1123 E 9TH ST STE 14
MISSION, TX 78572
Family Medicine
1123 E 9TH ST STE 14
MISSION, TX 78572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740032259, enumerated as an "organization" on April 05, 2024.

The provider is located at 1123 E 9TH ST STE 14 MISSION, TX 78572 and the phone number is (956) 605-6420.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.