Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Neo2Teen Pediatric Clinic, PA

Organization Pediatrics Physician · NPI 1770023624

Neo2Teen Pediatric Clinic, PA provides Pediatrics Physician services in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6735 Fm 78 Ste 103
San Antonio, TX 78244-1367
Phone: (210) 888-9960
Fax: (210) 888-9422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence P2438 (TX)

Record details

NPI number1770023624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Etokhana — President · (210) 888-9960
NPI enumeratedFebruary 26, 2017
Last updated in NPPESApril 27, 2017
Mailing address23723 Sunset Peak, San Antonio, TX 78258-7544

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