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

Pediatric Heroes Primary Care Clinic, PLLC

Organization Pediatric Nurse Practitioner · NPI 1790374932

Pediatric Heroes Primary Care Clinic, PLLC provides Pediatric Nurse Practitioner services in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21970 Bulverde Rd
San Antonio, TX 78259-2178
Phone: (240) 605-3767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1790374932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlischa Hall — Owner · (240) 605-3767
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address20403 Encino Ledge Unit 592625, San Antonio, TX 78259-0869

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