Stonewall Pediatric Health Center, LLC is a Pediatrics Physician (organization) practicing in Nacogdoches, Texas. The National Provider Identifier (NPI) is #1831031509, which was assigned on April 9, 2026, and the registration record was last updated on April 9, 2026. The practitioner's main practice location is at 1303 S. Unversity Dr, Nacogdoches, TX 75961; the contact telephone number is 9362194611. The primary taxonomy of Stonewall Pediatric Health Center, LLC is Pediatrics Physician (208000000X). The authorized official for Stonewall Pediatric Health Center, LLC is Mr. Desmond Tolbert (Ceo).
A 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
| NPI | 1831031509 |
| Entity Type | Organization |
| Organization Name | STONEWALL PEDIATRIC HEALTH CENTER, LLC |
| Provider Name | STONEWALL PEDIATRIC HEALTH CENTER, LLC |
| Practice Address |
1303 S. Unversity Dr Nacogdoches TX 75961 |
| Practice Telephone | 9362194611 |
| Mailing Address |
1303 S. Unversity Dr Nacogdoches TX 75961 |
| Mailing Telephone | 9362194611 |
| Certification Date | 2026-04-02 |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |
| Is Organization Subpart | N |
| Official Name | MR. DESMOND TOLBERT |
| Official Title | CEO |
| Telephone | 9362194611 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 193200000X MULTI-SPECIALTY GROUP |
| Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| Classification | Pediatrics |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Twilight Pediatric Medicine | 440 Asbury Rd, Freeville, NY 13068-9740 | Pediatrics Physician | 2026-03-31 |
| Ireland Buckley Banner | 2829 Babcock Rd, San Antonio, TX 78229-6028 | Pediatrics Physician | 2026-03-31 |
| Everkind Pediatrics | 31717 Tradewinds Dr, Avon Lake, OH 44012-2915 | Pediatrics Physician | 2026-04-03 |
| Children's Dentistry of Lithonia LLC | 7215 Stonecrest Pkwy, Lithonia, GA 30038-2563 | Pediatrics Physician | 2026-03-26 |
| North Florida Pediatrics Pa | 3872 San Jose Park Dr, Jacksonville, FL 32217-4613 | Pediatrics Physician | 2026-04-02 |
| Karessa James | 1009 Dunham St Se, Grand Rapids, MI 49506-2658 | Pediatrics Physician | 2026-04-10 |
| Giorgi Maziashvili | 450 Chew St Ste 203, Allentown, PA 18102-3434 | Pediatrics Physician | 2026-04-09 |
| Emerald Home Health LLC | 8301 White Pine Dr, Fort Worth, TX 76123-1702 | Pediatrics Physician | 2026-03-26 |
| Children's Healthcare Center, LLC | 510 Washington Ave, Sandersville, GA 31082-1971 | Pediatrics Physician | 2026-04-10 |
| Internal Medicine and Pediatrics of San Diego | 8745 Aero Dr Ste 106, San Diego, CA 92123-1763 | Pediatrics Physician | 2026-04-06 |
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| Street Address |
1303 S. UNVERSITY DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nacogdoches County Hospital District | 1204 N Mound St, Nacogdoches, TX 75961-4027 | Rehabilitation Hospital | 2006-06-29 |
| Procare Nacogdoches LLC | 1420 North St, Nacogdoches, TX 75961-4037 | Emergency Care Clinic/Center | 2023-06-12 |
| Shadman Shaikh | 1030 N University Dr, Nacogdoches, TX 75961-4208 | Pharmacist | 2026-02-17 |
| Advanced Chiropractic Center LLC | 1602 E Starr Ave Ste 201, Nacogdoches, TX 75961-4312 | Chiropractor | 2025-12-30 |
| Nacogdoches County Hospital District | 1204 N Mound St, Nacogdoches, TX 75961-4027 | Psychiatric Hospital | 2015-03-05 |
| Nacogdoches County Hospital District | 1204 N Mound St, Nacogdoches, TX 75961-4027 | Rural Acute Care Hospital | 2006-06-17 |
| Lam Nhat Do | 1424 North St, Nacogdoches, TX 75961-4037 | Pharmacist | 2021-08-22 |
| Alex Demotte | 1030 N University Dr, Nacogdoches, TX 75961-4208 | Pharmacist | 2025-12-29 |
| Nacagdocles Anesthesia Group LLP | 1329 N University, Suite E 1, Nacogdocles, TX 75961 | Anesthesiology Physician | 2006-11-27 |
| Etx Metabolic Syndrome Relief PLLC | 1220 North St Ste 100, Nacogdoches, TX 75961-4010 | Infusion Therapy Clinic/Center | 2025-12-17 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pediatric Medical Center, Pa | 11450 Space Center Blvd Ste 100, Houston, TX 77059-3642 | Pediatrics Physician | 2008-02-12 |
| N W Pediatric Center Inc P S | 1911 Cooks Hill Rd, Centralia, WA 98531-9073 | Pediatric Nurse Practitioner | 2006-11-29 |
| Lumina Pediatric Center, LLC | 8407 Pinehurst Dr, Tampa, FL 33615-1532 | Medically Fragile Infants and Children Day Care | 2025-10-01 |
| Sky's Pediatric Day Center, LLC | 3381 G St Ste B, Merced, CA 95340-1002 | Pediatric Skilled Nursing Facility | 2024-07-01 |
| Stonewall Behavioral Health | 826 Se 10th St, Pendleton, OR 97801-3246 | Clinical Social Worker | 2025-10-27 |
| Center for Pediatric Movement LLC | 6600 France Ave S Ste 164, Edina, MN 55435-1802 | Speech-Language Pathologist | 2023-01-04 |
| Jennings Pediatric Center, LLC | 1615 Johnson St Ste A, Jennings, LA 70546-3650 | Clinic/Center | 2017-09-26 |
| Laurie Kay Stonewall-Johnson | 2301 Steindler Way Ste B, North Liberty, IA 52317-7908 | Hand Occupational Therapist | 2006-09-21 |
| Little Stars Pediatric Center LLC | 3301 Plainview St Ste 10, Pasadena, TX 77504-1927 | Intellectual Disabilities Intermediate Care Facility | 2025-06-10 |
| Stonewall Memorial Hospital | 1447 Main Street, Jayton, TX 79528 | Rural Health Clinic/Center | 2014-04-15 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |