Organization
NORTHEAST PEDIATRIC ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISHAM WALKER PAULI JR. M.D. (PRESIDENT/CEO)
(210) 619-2710
Entity
Organization
Contact information
Practice address
300 E SONTERRA BLVD, STE 320, SAN ANTONIO, TX 78258-3972
(210) 619-2710
(210) 402-2868
Mailing address
300 E. SONTERRA BLVD, STE 320, SAN ANTONIO, TX 78258-3972
(210) 619-2710
(210) 402-2868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/11/2006
Last updated
04/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us