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BAY CARDIOVASCULAR SURGERY PA NPI 1831648203


NPI Information

NPI: 1831648203
Provider Name: BAY CARDIOVASCULAR SURGERY PA

Doing Business As: BAY VASCULAR SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
819 AYERS ST
CORPUS CHRISTI, TX
ZIP 78404
Phone: (361) 761-8610
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BAY CARDIOVASCULAR SURGERY PA is a vascular surgery surgery in Corpus Christi, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. BAY CARDIOVASCULAR SURGERY PA NPI is 1831648203. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bay Vascular Surgery.

The provider's business location address is:

819 AYERS ST
CORPUS CHRISTI, TX
ZIP 78404-914
Phone: (361) 761-8610
Fax: (361) 761-8611

The provider's authorized official is Lofton Nathaniel Misick .
The authorized official title is Owner and has the following contact phone number (361) 761-8610.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 8/29/2022.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Q7428TEXASNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
32086S0129XSurgeryVascular SurgeryYes

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
1367177801MEDICAIDTEXAS

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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