Organization
SOUTH PADRE ISLAND PEDIATRIC CENTER PA
Active
Organization
SOUTH PADRE ISLAND PEDIATRIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA POWELL (PRACTICE ADMINISTRATOR)
(361) 854-4626
Entity
Organization
Contact information
Practice address
1210 GREGORY ST STE 2, TAFT, TX 78390-3045
(361) 528-2595
Mailing address
3845 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78415-2919
(361) 854-4626
(361) 851-5193
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
01/20/2026
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