Organization
PEDIATRIC KIDS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO CESAR MORALES FNP (OWNER)
(956) 396-4525
Entity
Organization
Contact information
Practice address
1200 E BUSINESS 83 STE 1200, SAN JUAN, TX 78589-4758
(956) 396-4525
(956) 396-4520
Mailing address
1200 E BUS 83 STE 1200, SAN JUAN, TX 78589-4758
(956) 396-4525
(956) 396-4520
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871019109
—
TX
Enumeration date
09/12/2024
Last updated
07/17/2025
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