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AMBULATORY ADULT NEUROLOGY PA NPI 1689872269


NPI Information

NPI: 1689872269
Provider Name: AMBULATORY ADULT NEUROLOGY, PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 45D2106528

Address:
5402 HOLLY ROAD
SUITE 2102
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 882-9100
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AMBULATORY ADULT NEUROLOGY, PA is a neurology psychiatry neurology in Corpus Christi, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. AMBULATORY ADULT NEUROLOGY, PA NPI is 1689872269. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5402 HOLLY ROAD
SUITE 2102
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 882-9100
Fax: (361) 882-9194

The provider's authorized official is Juan Felipe Santos .
The authorized official title is President and has the following contact phone number (361) 882-9100.

The CLIA number assigned to this NPI record is 45D2106528 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 1/29/2014.


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
12084N0400XPsychiatry & NeurologyNeurologyH2754TEXASYes

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
1148759701MEDICAIDTEXAS
200058TMEDICARE PINTEXAS

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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