Pedicare Childrens Clinic PA
NPI 1255862074 · Pediatrics Physician · Midland, TX
Pedicare Childrens Clinic PA is a Pediatrics Physician organization in Midland, TX (NPI 1255862074).
Provider details
- NPI number
- 1255862074
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kingsley Okonkwo, President(361) 334-0613
- License
- Q5518 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 6326 Yorktown Blvd Ste 1aCorpus Christi, TX 78414-5861Phone: (361) 334-0613
- 912 E 5th StOdessa, TX 79761-4605Phone: (432) 334-8845
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Frequently asked questions
- What is Pedicare Childrens Clinic PA's NPI number?
- Pedicare Childrens Clinic PA's National Provider Identifier (NPI) is 1255862074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pedicare Childrens Clinic PA?
- Pedicare Childrens Clinic PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pedicare Childrens Clinic PA located?
- Pedicare Childrens Clinic PA's practice location on file with NPPES is 2101 N Midland Dr Ste 14a, Midland, TX 79707-5507.
- What is Pedicare Childrens Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Pedicare Childrens Clinic PA is (432) 695-6300.
- Who is the authorized official for Pedicare Childrens Clinic PA?
- The authorized official listed on Pedicare Childrens Clinic PA's NPPES record is Kingsley Okonkwo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pedicare Childrens Clinic PA's NPI active?
- Yes — Pedicare Childrens Clinic PA's NPI (1255862074) is active in the NPPES registry as of the last update on 2022-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.