MEDICARE: HEARTSIDE PEDIATRICS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1164368395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTSIDE PEDIATRICS PC

Provider Business Mailing Address
First Line	:	23015 FM 529 RD STE 200
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-5065
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23015 FM 529 RD STE 200
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-5065
Country	:	US
Telephone Number	:	281-709-8309
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL NURSE SPECIALIST
Name	:	DR. VANESSA ABACAN
Credential	:	DNP, APRN-CNS
Telephone Number	:	281-709-8309

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “HEARTSIDE PEDIATRICS PC ” Practice Location

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