Organization
CHILD STUDY CLINIC
Active
Other names
S.T.A.R.S.
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ZEPLIN (PROGRAM COORDINATOR)
(361) 575-0681
Entity
Organization
Contact information
Practice address
4208 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 575-0681
(361) 575-0100
Mailing address
PO BOX 5140, VICTORIA, TX 77903-5140
(361) 575-0681
(361) 575-0100
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
618622
TX
163WC0400X
Case Management Registered Nurse
649214
TX
171M00000X
Case Manager/Care Coordinator
G6459
TX
174H00000X
Health Educator
G6459
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
G6459
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G6459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126856702
—
TX
Enumeration date
03/19/2007
Last updated
08/21/2025
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