Provider Demographics
NPI:1194079673
Name:TOTS N TEENS PEDIATRIC URGENT CARE PLLC
Entity type:Organization
Organization Name:TOTS N TEENS PEDIATRIC URGENT CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAJMUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:210-267-5411
Mailing Address - Street 1:11019 CULEBRA ROAD
Mailing Address - Street 2:SUITE 155
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253
Mailing Address - Country:US
Mailing Address - Phone:210-267-5411
Mailing Address - Fax:
Practice Address - Street 1:11019 CULEBRA ROAD
Practice Address - Street 2:SUITE 155
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253
Practice Address - Country:US
Practice Address - Phone:210-267-5411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186576801Medicaid
TX186576801Medicare PIN