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COASTAL BEND FAMILY PRACTICE PA NPI 1376166710


NPI Information

NPI: 1376166710
Provider Name: COASTAL BEND FAMILY PRACTICE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
600 ELIZABETH ST
CORPUS CHRISTI, TX
ZIP 78404
Phone: (361) 884-2904
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COASTAL BEND FAMILY PRACTICE, PA is a family medicine in Corpus Christi, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COASTAL BEND FAMILY PRACTICE, PA NPI is 1376166710. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 ELIZABETH ST
CORPUS CHRISTI, TX
ZIP 78404-235
Phone: (361) 884-2904
Fax: (361) 857-0572

The provider's authorized official is Brent Lee Pennington .
The authorized official title is President and has the following contact phone number (361) 336-3888.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 5/20/2020.


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
1207Q00000XFamily MedicineYes

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
1P7534OTHERTEXASTEXAS MEDICAL BOARD

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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