Coastal Bend Pet Scan LTD

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

Legal business name

COASTAL BEND PET SCAN LTD

Practice address

1533 5TH St
Corpus Christi, TX 78404-1901

Phone

(361) 880-7226

Fax

(361) 881-6252

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas W Ertzner, M.D.

Title

Partner

Phone

(361) 853-4503

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Radiology & Imaging of South Texas,LLP

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1184669897

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1013026939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 REID DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042552",
            "telephone_number": "361-853-4503",
            "fax_number": "361-853-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 5TH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041901",
            "telephone_number": "361-880-7226",
            "fax_number": "361-881-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND PET SCAN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "ERTZNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "361-853-4503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Bend Neuropsychology
• Coastal Bend Oncology Hematology (Ester B. Pollard, M.D.)
• Coastal Bend Oral & Facial Surgery, PA
• Coastal Bend Orthopaedic Specialists, PLLC
• Coastal Bend Parameds, LLC
• Coastal Bend Premier Solutions, LLC
• Coastal Bend Primary Care Corp
• Coastal Bend Prosthetics (Coastal Orthopedic Supply)
• Coastal Bend Psychiatric Associates P.a.
• Coastal Bend Psychological Associates

• Nuclear Radiology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nuclear Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.