CORPUS CHRISTI FAMILY MEDICINE CENTER PA NPI 1376513911

NPI Information

NPI: 1376513911
Provider Name: CORPUS CHRISTI FAMILY MEDICINE CENTER PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1010791

Address:
601 TEXAN TRL
SUITE 200
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 808-7200
Get Directions

CORPUS CHRISTI FAMILY MEDICINE CENTER 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. CORPUS CHRISTI FAMILY MEDICINE CENTER PA NPI is 1376513911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 TEXAN TRL
SUITE 200
CORPUS CHRISTI, TX
ZIP 78411-547
Phone: (361) 808-7200
Fax: (361) 225-0020

The provider's authorized official is Jonathan E Martin .
The authorized official title is President and has the following contact phone number (361) 808-7200.

The CLIA number assigned to this NPI record is 45D1010791 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 5/22/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	156123501	MEDICAID	TEXAS
2	00122U	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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

NPI Synchronization or Removal

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