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Organization
TEJAS PEDIATRICS, P.A.
Active
Organization
TEJAS PEDIATRICS, P.A.
Active
Other names
Tejas Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE QUIROGA CMM, CMPM, EFPM (PRACTICE ADMINISTRATOR)
(210) 479-3000
Entity
Organization
Contact information
Practice address
20642 STONE OAK PKWY, SUITE 105, SAN ANTONIO, TX 78258-7362
(210) 479-3000
(210) 479-3016
Mailing address
20642 STONE OAK PKWY, SUITE 105, SAN ANTONIO, TX 78258-7362
(210) 479-3000
(210) 479-3016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015EZ
BC CLINIC NUMBER
TX
05
—
045296302
—
TX
05
—
111761604
—
TX
01
—
1194907183
DR. HENIGAN NPI
TX
01
—
1528009776
STORANDT NPI
TX
01
—
1629011242
BEATTY NPI
TX
01
—
169952201
MEDICAID DR. STORANDT
TX
05
—
173321401
—
TX
05
—
173321402
—
TX
01
—
1780627919
BAUER NPI
TX
01
—
1790876225
DR. TREXLER NPI
TX
01
—
218136401
MEDICAID DR. HENIGAN
TX
Enumeration date
06/13/2006
Last updated
03/09/2012
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