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Pediatric Practice Association

NPI 1639314545ActiveOrganization· Physician Assistant· Rio Grande City, TX

Physician Assistant in Rio Grande City, Texas, registered in NPPES in December 2008. The authorized official on file is Gloria Gonzalez, Chief Operations Officer.

Overview

NPI1639314545
StatusActive
Entity typeOrganization
NPI issuedDec 5, 2008
Last updated in NPPESDec 5, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA05462TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physician assistants in Rio Grande City

All 20 physician assistants in Rio Grande City · All physician assistants in Texas