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COLON AND RECTAL ASSOCIATES OF SOUTH TEXAS NPI 1427177377


NPI Information

NPI: 1427177377
Provider Name: COLON AND RECTAL ASSOCIATES OF SOUTH TEXAS
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
4234 WEBER RD
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 883-3831
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COLON AND RECTAL ASSOCIATES OF SOUTH TEXAS is a colon rectal surgery in Corpus Christi, TX. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. COLON AND RECTAL ASSOCIATES OF SOUTH TEXAS NPI is 1427177377. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4234 WEBER RD
CORPUS CHRISTI, TX
ZIP 78411-603
Phone: (361) 883-3831
Fax: (361) 887-0146

The provider's authorized official is Fred B Brackett .
The authorized official title is President and has the following contact phone number (361) 883-3831.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/18/2018.


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
1208C00000XColon & Rectal SurgeryG9395TEXASNo
2208C00000XColon & Rectal SurgeryM0423TEXASNo
3208C00000XColon & Rectal SurgeryE7836TEXASYes

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
1101550502MEDICAIDTEXAS
2114250703MEDICAIDTEXAS
3172277901MEDICAIDTEXAS

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: 11/14/2023

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