C. Dale Eubank, M.D., P.a.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

F3940 Issued in TX

Legal business name

C. DALE EUBANK, M.D., P.A.

Practice address

5920 Saratoga Blvd Ste 110
Corpus Christi, TX 78414-4104

Phone

(361) 906-1277

Fax

(361) 906-0330

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Charles Dale Eubank, M.D.NPI 1750347084

Title

Physician/Owner

Phone

(361) 906-1277

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Charles Dale Eubank Jr., M.D.

  • Gynecology Physician
  • Corpus Christi, TX
  • NPI 1750347084

  Gynecology, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1023074887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-884-2904",
            "fax_number": "361-371-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144104",
            "telephone_number": "361-906-1277",
            "fax_number": "361-906-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DALE EUBANK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "EUBANK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "361-906-1277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F3940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153996702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C H Wilkinson Physician Network
• C H Wilkinson Physician Network
• C H Wilkinson Physician Network
• C H Wilkinson Physician Network
• C. D. Cardenas, M.D.,P.a.
• C.H. Wilkinson Physician Network
• C2Counseling
• Jasmine Ysabella Caballero
• Omar Andres Caballero
• Albert L Cabrera, CFA

• All providers in Corpus Christi, TX
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.