Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Heroes Primary Care Clinic, PLLC

Organization Pediatric Nurse Practitioner · NPI 1790374932

Pediatric Heroes Primary Care Clinic, PLLC is a Pediatric Nurse Practitioner in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21970 Bulverde Rd
San Antonio, TX 78259-2178
Phone: (240) 605-3767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1790374932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlischa Hall — Owner · (240) 605-3767
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address20403 Encino Ledge Unit 592625, San Antonio, TX 78259-0869

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