CC DOCTORS CENTER STAPLES PLLC NPI 1881050052

NPI Information

NPI: 1881050052
Provider Name: CC DOCTORS CENTER STAPLES PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2111172

Address:
4833 S STAPLES ST
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 356-0300
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CC DOCTORS CENTER STAPLES PLLC is a primary care clinic center in Corpus Christi, TX. CC DOCTORS CENTER STAPLES PLLC NPI is 1881050052. The provider is registered as an organization entity type.

The provider's business location address is:

4833 S STAPLES ST
CORPUS CHRISTI, TX
ZIP 78411-609
Phone: (361) 356-0300
Fax: (361) 334-0571

The provider's authorized official is James Keith Rose .
The authorized official title is Owner and has the following contact phone number (361) 356-0300.

The CLIA number assigned to this NPI record is 45D2111172 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2016 and was last updated on 1/4/2016.

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	261QP2300X	Clinic/Center	Primary Care	J4486	TEXAS	Yes

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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