MEDICARE: MINDFUL PEDIATRICS, PLLC

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	207Q00000X	Family Medicine Physician
2	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1477186526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL PEDIATRICS, PLLC

Provider Business Mailing Address
First Line	:	415 PALM BLVD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-5433
Country	:	US
Telephone Number	:	956-545-1327
Fax Number	:	956-545-1326

Provider Business Practice Location Address
First Line	:	415 PALM BLVD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-5433
Country	:	US
Telephone Number	:	956-545-1327
Fax Number	:	956-545-1326

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DOLLY LUCIO SEVIER
Credential	:	MD
Telephone Number	:	956-545-1327

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	01/02/2026

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