PEDIATRIC HEROES PRIMARY CARE CLINIC, PLLC
NPI 1790374932
Nurse Practitioner - Pediatrics in San Antonio, TX
About Pediatric Heroes Primary Care Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC HEROES PRIMARY CARE CLINIC, PLLC (NPI 1790374932) is a healthcare organization registered as a pediatrics in San Antonio, Texas and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Marlischa Hall, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 45D2227245
Pediatric Heroes Primary Care Clinic · San Antonio, TXFrequently 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 Pediatric Heroes Primary Care Clinic, PLLC's NPI number?
The NPI number for Pediatric Heroes Primary Care Clinic, PLLC is 1790374932. It was assigned to this organization in the NPPES registry on January 12, 2021.
Where is Pediatric Heroes Primary Care Clinic, PLLC located?
Pediatric Heroes Primary Care Clinic, PLLC is located at 21970 Bulverde Rd, San Antonio, TX 78259. The listed phone number is (240) 605-3767.
What is Pediatric Heroes Primary Care Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Does Pediatric Heroes Primary Care Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2227245) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pediatric Heroes Primary Care Clinic, PLLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Pediatric Heroes Primary Care Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pediatric Heroes Primary Care Clinic, PLLC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Pediatric Heroes Primary Care Clinic, Pllc · NPI 1790374932
Pediatrics organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since January 12, 2021.
## Identity
- **NPI:** 1790374932 (Entity type: Organization)
- **Enumerated:** January 12, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **Organization subpart:** No
- **Authorized official:** Marlischa Hall, OWNER
## Practice location
- **Address:** 21970 BULVERDE RD, San Antonio, TX 78259-2178
- **Phone:** (240) 605-3767
## Record status
- **NPPES last updated:** January 12, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790374932) · Data from the CMS NPPES public registry.