NPI age
9 years
Enumerated 2017-03-23
● Active Type 2 · Organization
Pedicare Childrens Clinic PA
Pedicare Childrens Clinic PA is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Okonkwo
President
Last NPPES update
2022-02-10
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
9 years
↓ 9 yr below median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2101 N Midland Dr Ste 14a
Midland, TX 797075507
Mailing address
2101 N Midland Dr Ste 14a
Midland, TX 797075507
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
6326 Yorktown Blvd Ste 1a
Corpus Christi, TX 784145861
Location 3
912 E 5th St
Odessa, TX 797614605
Authorized official
Kingsley Okonkwo, MD
President
📞 3613340613
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Oluwatimilehin Daramola Physician Assistant NPI 1881490738
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P4362 | STATE LICENSE |
| 01 (TX) | AP144543 | ALL |
| 01 (TX) | Q5518 | STATE LICENSE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 2 secondary practice locations.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.