Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SOUTH PADRE ISLAND PEDIATRIC CLINIC PA
NPI 1851254700
Clinic/Center - Rural Health in Victoria, TX

Active since December 08, 2025
110 MEDICAL DR STE 104, VICTORIA, TX 77904(361) 854-4626(361) 572-4415 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Dec 8, 2025 (2 updates tracked since 2025).

About South Padre Island Pediatric Clinic Pa NPPES

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

SOUTH PADRE ISLAND PEDIATRIC CLINIC PA (NPI 1851254700) is a healthcare organization registered as a rural health in Victoria, Texas and active in the NPI registry since December 2025. The organization lists Theresa Powell, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1851254700
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTH PADRE ISLAND PEDIATRIC CLINIC PA
Location Address110 MEDICAL DR STE 104Victoria, TX 77904-3127
Mailing Address110 Medical Dr Ste 104Victoria, TX 77904-3127 · (361) 854-4626 · Fax (361) 572-4415
Fax(361) 572-4415
Organization SubpartNo
Authorized OfficialTheresa PowellPractice Admin · (512) 789-3844
Enumeration DateDecember 8, 2025
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1851254700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
110 MEDICAL DR STE 104, Victoria, TX 77904

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 South Padre Island Pediatric Clinic PA's NPI number?

The NPI number for South Padre Island Pediatric Clinic PA is 1851254700. It was assigned to this organization in the NPPES registry on December 8, 2025.

Where is South Padre Island Pediatric Clinic PA located?

South Padre Island Pediatric Clinic PA is located at 110 Medical Dr Ste 104, Victoria, TX 77904. The listed phone number is (361) 854-4626.

What is South Padre Island Pediatric Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for South Padre Island Pediatric Clinic PA was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.