Organization Active NPI

Lake Corpus Christi Family Medical Association

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1033452412
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKE CORPUS CHRISTI FAMILY MEDICAL ASSOCIATION
Practice address
4444 Corona Dr
Suite 130
Corpus Christi, TX 78411-4324
Phone
(361) 992-4500
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Ronald G Munson, MD
Title
Provider
Phone
(361) 992-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4444 Corona Dr
Suite 130
Corpus Christi, TX 78411-4324

Mailing address

4444 Corona Dr
Suite 130
Corpus Christi, TX 78411-4324
Phone (361) 992-4500

National Provider Directory

National Provider Directory

Locations

4444 Corona Dr
Ste 130
Corpus Christi, TX 78411
Phone (361) 500-4207

4838 Holly Rd
Ste 209
Corpus Christi, TX 78411
Phone (361) 992-4500

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1033452412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR",
            "address_2": "SUITE 130",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114324",
            "telephone_number": "361-992-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR",
            "address_2": "SUITE 130",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114324",
            "telephone_number": "361-992-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CORPUS CHRISTI FAMILY MEDICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "361-992-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 12, 2014; 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.