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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIDSVILLE PEDIATRICS SOUTHLAKE PLLC

Active Organization

KIDSVILLE PEDIATRICS SOUTHLAKE PLLC is a Pediatric Critical Care Medicine organization located in SOUTHLAKE, Texas. NPI 1598639635 is currently active in the NPPES registry. Verify at CMS.

Pediatric Critical Care Medicine · SOUTHLAKE, TX

Registration Details

NPI Number
1598639635
Provider Type
Organization
NPI Issued
Oct 1, 2025 (0.86448797807547 yrs)
Last Updated
Oct 2, 2025

Practice Information

Address
2813 W SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX, 760926832
Browse TX providers · Browse ZIP 76092
Phone
6823458010
Primary Specialty
Pediatric Critical Care Medicine
2080P0203X
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Physician Assistant
Additional Specialty
Pediatrics
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.