Pediatric Heroes Primary Care Clinic, PLLC
NPI 1790374932ActiveOrganization· Nurse Practitioner, Pediatrics· San Antonio, TX
Nurse Practitioner, Pediatrics in San Antonio, Texas, registered in NPPES in January 2021. The authorized official on file is Marlischa Hall, Owner.
Overview
| NPI | 1790374932 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2021 |
| Last updated in NPPES | Jan 12, 2021 |
| Certified by provider | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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