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COASTAL BEND CANCER CENTER PA NPI 1043299415


NPI Information

NPI: 1043299415
Provider Name: COASTAL BEND CANCER CENTER, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1625 RODD FIELD RD
SUITE 100
CORPUS CHRISTI, TX
ZIP 78412
Phone: (361) 887-0067
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COASTAL BEND CANCER CENTER, PA 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. COASTAL BEND CANCER CENTER, PA NPI is 1043299415. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1625 RODD FIELD RD
SUITE 100
CORPUS CHRISTI, TX
ZIP 78412-926
Phone: (361) 887-0067
Fax: (361) 887-1885

The provider's authorized official is Nora Rodriguez .
The authorized official title is Office Manager and has the following contact phone number (361) 887-0067.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 12/24/2019.


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
1174400000XSpecialistL5449TEXASNo
2174400000XSpecialistK1120TEXASNo
3174400000XSpecialistK3846TEXASYes

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
1151269101MEDICAIDTEXAS
200465TOTHERTEXASBLUE CROSS BLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.