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
PRIMARY CARE PEDIATRICS,PA
Active
Organization
PRIMARY CARE PEDIATRICS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDA LAO TOLEDO M.D. (PRESIDENT)
(409) 729-9200
Entity
Organization
Contact information
Practice address
8333 9TH AVE., SUITE B, PORT ARTHUR, TX 77642
(409) 729-9200
(409) 729-9235
Mailing address
8333 9TH AVE., SUITE B, PORT ARTHUR, TX 77642
(409) 729-9200
(409) 729-9235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M2487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178296301
—
TX
05
—
178296302
—
TX
05
—
178297101
—
TX
01
—
M2487
TEXAS LICENSE
TX
Enumeration date
01/09/2007
Last updated
06/24/2008
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