Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ST. PAUL CHILDREN'S MEDICAL CORPORATION
Active
Organization
ST. PAUL CHILDREN'S MEDICAL CORPORATION
Active
Other names
Bethesda Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA COHEN (CHIEF OPERATIONS OFFICER)
(903) 531-9455
Entity
Organization
Contact information
Practice address
1350 E RICHARDS ST, TYLER, TX 75702-6153
(903) 531-9455
(903) 526-3118
Mailing address
1350 E RICHARDS ST, TYLER, TX 75702-6153
(903) 531-9455
(903) 526-3118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203740001
—
TX
01
—
203740002
MEDICAID TH STEPS
TX
01
—
203740003
MEDICAID CSCHN
TX
Enumeration date
06/17/2009
Last updated
06/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up