# CHILD STUDY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** S.T.A.R.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396869780
- **Authorized official:** KATIE SERRANO (CLINIC COORDINATOR I)
- **Authorized official phone:** (361) 575-0681

## Contact information

- **Practice address:** 117 MEDICAL DR STE 4, VICTORIA, TX 77904-3114
- **Practice address phone:** (361) 575-0681
- **Practice address fax:** (361) 575-0100
- **Mailing address:** 117 MEDICAL DR STE 4, VICTORIA, TX 77904-3114
- **Mailing address phone:** (361) 575-0681
- **Mailing address fax:** (361) 575-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020