South Padre Island Pediatric Clinic PA
South Padre Island Pediatric Clinic PA is a Rural Health Clinic/Center in Victoria, Texas. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
110 Medical Dr Ste 104Victoria, TX 77904-3127
Phone: (361) 854-4626
Fax: (361) 572-4415
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|
Record details
| NPI number | 1851254700 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theresa Powell — Practice Admin · (512) 789-3844 |
| NPI enumerated | December 8, 2025 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
| Mailing address | 110 Medical Dr Ste 104, Victoria, TX 77904-3127 |