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KINGSVILLE PEDIATRIC CLINIC
NPI 1962685057
Specialist in Kingsville, TX

Active since December 11, 2007
1311 GENERAL CAVAZOS BLVD STE J, KINGSVILLE, TX 78363(361) 595-5526(361) 595-1050 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingsville Pediatric Clinic NPPES

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

KINGSVILLE PEDIATRIC CLINIC (NPI 1962685057) is a healthcare organization registered as a specialist in Kingsville, Texas and active in the NPI registry since December 2007. The organization lists Alfredo R Andaya, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1962685057
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKINGSVILLE PEDIATRIC CLINIC
Location Address1311 GENERAL CAVAZOS BLVD STE JKingsville, TX 78363-7129
Mailing Address1311 General Cavazos Blvd Ste JKingsville, TX 78363-7129 · (361) 595-5526 · Fax (361) 595-1050
Phone(361) 595-5526
Fax(361) 595-1050
Organization SubpartNo
Authorized OfficialAlfredo R AndayaPediatrician · (361) 595-5526
Enumeration DateDecember 11, 2007
✔ NPI 1962685057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · J4694
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1311 GENERAL CAVAZOS BLVD STE J, Kingsville, TX 78363
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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

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 Kingsville Pediatric Clinic's NPI number?

The NPI number for Kingsville Pediatric Clinic is 1962685057. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Kingsville Pediatric Clinic located?

Kingsville Pediatric Clinic is located at 1311 General Cavazos Blvd Ste J, Kingsville, TX 78363. The listed phone number is (361) 595-5526.

What is Kingsville Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kingsville Pediatric Clinic was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.