Organization
ADVANCED KIDS CARE 2, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE MARTINEZ (OFFICE ADMINISTRATOR)
(956) 904-2202
Entity
Organization
Contact information
Practice address
2112 E GRIFFIN PKWY, MISSION, TX 78572-3225
(956) 904-2202
(956) 904-2204
Mailing address
2112 E GRIFFIN PKWY, MISSION, TX 78572-3225
(956) 904-2202
(956) 904-2204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
08/05/2020
Last updated
10/13/2023
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