Adriana Pop-Moody MD Clinic PLLC
Organization Active NPI Rheumatology Physician · Corpus Christi, TX
NPI 1013049048 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1013049048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- Legal business name
- ADRIANA POP-MOODY MD CLINIC PLLC
- Practice address
- 613 Elizabeth St
Suite 704
Corpus Christi, TX 78404-2220 - Phone
- (361) 885-0010
- Fax
- (361) 885-0001
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- James J Weber
- Title
- Owner
- Phone
- (214) 424-2200
Corporate family (same tax ID) 1
Practitioners 7
-
Paul S Bongat, D.O.
-
Tamika Tellez, NP
-
Mfon Ofong, NP
-
Debbie Snodgrass, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050129000047 | TX | Part B Supplier - Clinic/Group Practice | 4981654787 |
Receives reassigned benefits from 7 practitioners Practice locations: Corpus Christi, TX |
National Provider Directory
- Tax ID family
- Adriana M Pop-Moody MD Clinic
Locations
613 Elizabeth St
#704
Corpus Christi, TX 78404
Phone (361) 885-0010
7121 Spid Dr
Ste 704
Corpus Christi, TX 78412
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | Yes |
Addresses
Primary practice location
613 Elizabeth St
Suite 704
Corpus Christi, TX 78404-2220
Mailing address
PO Box 3806
Corpus Christi, TX 78463-3806
Phone (361) 885-0010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171094901 | Medicaid | TX |
Other providers in Corpus Christi, TX
- Vicky Lynn Adler
- Adorable Medical Supply Inc.
- Adorno Rogers Technology
- Alden Dawn Adorno
- Adriana Pop-Moody MD Clinic PA
- Adult Medicine Associates
- Advance EMS, LTD.
- Advanced Acupuncture Clinic
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All providers in Corpus Christi, TX · Rheumatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.