NPI age
6 years
Enumerated 2019-11-21
● Active Type 2 · Organization
Rehoboth Medical Center Llc
Rehoboth Medical Center Llc is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Immanuel
Medical Director
Last NPPES update
2019-11-21
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-11Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
25231 Roesner Ln
Katy, TX 774945537
Mailing address
25231 Roesner Ln
Katy, TX 774945537
Authorized official
Stella Grace Immanuel, MD
Medical Director
📞 2815067412
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Stella Immanuel, MD Family Medicine NPI 1902947120
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...
-
PediatricsA pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Rehoboth Pediatric Clinic
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.