NPIMap

Organization Active NPI

Allergy and Immunology Specialists of Corpus Christi, PA

  • Medical Specialty Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1013947720
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ALLERGY AND IMMUNOLOGY SPECIALISTS OF CORPUS CHRISTI, PA
Practice address
1718 Braeswood Dr
Corpus Christi, TX 78412-4584
Phone
(361) 992-8500
Fax
(361) 992-6711
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Wesley W. Stafford, MD
Title
President
Phone
(361) 992-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1718 Braeswood Dr
Corpus Christi, TX 78412-4584

Mailing address

1718 Braeswood Dr
Corpus Christi, TX 78412-4584
Phone (361) 992-8500

Other identifiers 1

IdentifierTypeStateIssuer
091430101MedicaidTX

Other names 1

  • The Allergy and Asthma Center of Corpus Christi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060601000268 TX Part B Supplier - Clinic/Group Practice 5698786879 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

1718 Braeswood Dr
Corpus Christi, TX 78412
Phone (361) 992-8500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1013947720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 BRAESWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124584",
            "telephone_number": "361-992-8500",
            "fax_number": "361-992-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 BRAESWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124584",
            "telephone_number": "361-992-8500",
            "fax_number": "361-992-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND IMMUNOLOGY SPECIALISTS OF CORPUS CHRISTI, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-992-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091430101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Allergy and Asthma Center of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.