Pediatric Specialty Clinic & Lab #2 – Pediatrics Physician, NPI 1619091295

Pediatric Specialty Clinic & Lab #2 is a healthcare provider. based in Eagle pass, Texas. specializing in Pediatrics Physician. The organization holds a License No. 45D0506351 (TX). The NPI Number for Pediatric Specialty Clinic & Lab #2 is 1619091295

Main info

Organization
Name
Pediatric Specialty Clinic & Lab #2
NPI
1619091295
Phone
(830) 773-1103
Address
2198 E. GARRISON ST.
Authorized Official
MRS. DEBRA W. DE LOS SANTOS CEO
Enumeration Date
19 March 2007
Last Update Date
16 November 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Pediatric Specialty Clinic & Lab #2

  • 2198 E. GARRISON ST.

    STE. 1

    EAGLE PASS, TX 788525076

    Phone: (830) 773-1103

    Fax: (830) 757-8366

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78852)

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Reviews

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Frequently asked questions

What is the registry number for Pediatric Specialty Clinic & Lab #2?
The registry entry for Pediatric Specialty Clinic & Lab #2 shows NPI 1619091295.
Quick check: is Pediatric Specialty Clinic & Lab #2 active?
Public NPPES data shows Pediatric Specialty Clinic & Lab #2 with an active NPI status right now.
What does the directory say Pediatric Specialty Clinic & Lab #2 does?
Insurance directories may phrase it differently, but here Pediatric Specialty Clinic & Lab #2 maps to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Pediatric Specialty Clinic & Lab #2?
Pediatric Specialty Clinic & Lab #2 shows a connection to Eagle Pass, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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