OrganizationActive
Neo2teen Pediatric Clinic, PA
NPI 1770023624 · Pediatrics Physician · San Antonio, TX
Provider details
- NPI number
- 1770023624
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Etokhana, President(210) 888-9960
- License
- P2438 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
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
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
6735 Fm 78
Suite 103
San Antonio, TX 78244-1367
Phone: (210) 888-9960
Fax: (210) 888-9422
Street-level locationGet directions
Mailing address
23723 Sunset Peak
San Antonio, TX 78258-7544
Registry dates
- Enumerated
- 2017-02-26
- Last updated
- 2017-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.