OrganizationActive
South Padre Island Pediatric Clinic PA
NPI 1134374713 · Rural Health Clinic/Center · Mathis, TX
Provider details
- NPI number
- 1134374713
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandy Gonzalez, Office Manager(361) 854-4626
- License
- G6791 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
220 E. St. Mary'S Street
Mathis, TX 78368
Phone: (361) 758-1984
Fax: (361) 851-5193
Street-level locationGet directions
Mailing address
220 E. St. Mary'S Street
Mathis, TX 78368
Other names (DBA / former)
- Former legal business name
- South Padre Island Pediatric-Mathis
Registry dates
- Enumerated
- 2008-11-24
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.