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COASTAL BEND PRIMARY CARE CORP NPI 1639408974


NPI Information

NPI: 1639408974
Provider Name: COASTAL BEND PRIMARY CARE CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2049779

Address:
4621 S STAPLES
SUITE A
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 654-0050
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COASTAL BEND PRIMARY CARE CORP 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 PRIMARY CARE CORP NPI is 1639408974. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4621 S STAPLES
SUITE A
CORPUS CHRISTI, TX
ZIP 78411-605
Phone: (361) 654-0050
Fax: (361) 654-0056

The provider's authorized official is Jesse G Garcia .
The authorized official title is Owner/md and has the following contact phone number (361) 654-0050.

The CLIA number assigned to this NPI record is 45D2049779 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/16/2009 and was last updated on 6/14/2011.


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 MedicineNo
2207Q00000XFamily MedicineL8345TEXASYes

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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