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SOUTH TEXAS EYE CONSULTANTS PLLC NPI 1396819769


NPI Information

NPI: 1396819769
Provider Name: SOUTH TEXAS EYE CONSULTANTS, PLLC

Other Name: SOUTH TEXAS EYE CONSULTANTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5402 S. STAPLES
SUITE 100
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 992-9400
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SOUTH TEXAS EYE CONSULTANTS, PLLC is a specialist in Corpus Christi, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH TEXAS EYE CONSULTANTS, PLLC NPI is 1396819769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is South Texas Eye Consultants.

The provider's business location address is:

5402 S. STAPLES
SUITE 100
CORPUS CHRISTI, TX
ZIP 78411-656
Phone: (361) 992-9400
Fax: (361) 992-8295

The provider's authorized official is Thomas Russell Dietze .
The authorized official title is Owner and has the following contact phone number (361) 992-9400.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 2/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100R76WMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2084894701MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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