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

Southeast Texas Pediatric Center PA

Organization Pediatrics Physician · NPI 1720761075

Southeast Texas Pediatric Center PA is a Pediatrics Physician in Nederland, Texas. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2400 Highway 365 Ste 107
Nederland, TX 77627-6268
Phone: (409) 729-9200
Fax: (409) 729-9235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8333 9th Ave Ste B, Port Arthur, TX 77642-8151 — (409) 729-9200

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1720761075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Mayor — Administrator · (409) 729-9200
Other names Southeast Texas Pediatric Center Pa; Southeast Texas Pediatric Center Pa
NPI enumeratedAugust 11, 2023
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address2400 Highway 365 Ste 107, Nederland, TX 77627-6268

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