OrganizationActive
Doniphan Pediatrics PA
NPI 1114385150 · Rural Health Clinic/Center · Canutillo, TX
Provider details
- NPI number
- 1114385150
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Valeria Laris, Human Resources Management(915) 642-4117
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6621 Doniphan Dr
Suite E
Canutillo, TX 79835-5002
Phone: (915) 642-4117
Fax: (915) 642-4113
Street-level locationGet directions
Mailing address
6621 Doniphan Dr
Canutillo, TX 79835-5002
Registry dates
- Enumerated
- 2016-02-05
- Last updated
- 2016-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.