NPI age
17 years
Enumerated 2008-08-19
● Active Type 2 · Organization
Laurie McKillip M.d., P.A.
Laurie McKillip M.d., P.A. is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McKillip
Physician/owner
Last NPPES update
2008-11-06
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1120 Medical Plaza Dr, Suite 250
Shenandoah, TX 773803242
Mailing address
1120 Medical Plaza Dr, Suite 250
Shenandoah, TX 773803242
Authorized official
Laurie McKillip, MD
Physician/owner
📞 2812968500
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Lindsay Domangue, PA Physician Assistant NPI 1639486749
- Tracy Hedine, MSN, APRN, FNP-C Nurse Practitioner NPI 1669968335
- Robert Mock, MD Family Medicine NPI 1932196896
- James Owusu, M.D. Otolaryngology NPI 1942443312
- Terra Phillips, PA-C Physician Assistant NPI 1154501757
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | G9021 | TEXAS LICENSE |
| 01 (TX) | 8A0972 | BLUE CROSS & BLUE SHEILD |
| 01 (TX) | 586248 | UNITED HEALTHCARE |
| 01 (TX) | 03741 | CIGNA |
| 01 (TX) | 976050 | AETNA |
| 01 (TX) | E79307 | UPIN |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 7055 Pediatrics providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.