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CORPUS CARE NPI 1801936935


NPI Information

NPI: 1801936935
Provider Name: CORPUS CARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D1074044

Address:
4710 EVERHART RD
SUITE 100
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 857-2273
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CORPUS CARE is a family nurse practitioner in Corpus Christi, TX. CORPUS CARE NPI is 1801936935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4710 EVERHART RD
SUITE 100
CORPUS CHRISTI, TX
ZIP 78411-750
Phone: (361) 857-2273
Fax: (866) 227-3199

The provider's authorized official is Cindy S. Petty .
The authorized official title is Practitioner and has the following contact phone number (361) 857-2273.

The CLIA number assigned to this NPI record is 45D1074044 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 9/14/2007.


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
1363LF0000XNurse PractitionerFamily577955TXTEXASYes

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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