NPIMap

Organization Active NPI

Albert T. Kocurek M.D., P.L.L.C.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Texas City, TX
National Provider Identifier
1073762571
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
ALBERT T. KOCUREK M.D., P.L.L.C.
Practice address
1125 Highway 3 N
Suite 100
Texas City, TX 77591-4048
Phone
(409) 938-5766
Fax
(409) 938-5589
NPI assigned
Sep 9, 2008
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Albert Terrazas Kocurek, M.D.
Title
Member
Phone
(409) 938-5766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X NU Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X NU

Addresses

Primary practice location

1125 Highway 3 N
Suite 100
Texas City, TX 77591-4048

Mailing address

1125 Highway 3 N
Suite 100
Texas City, TX 77591-4048
Phone (409) 938-5766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000283 TX Part B Supplier - Clinic/Group Practice 4688721657 Receives reassigned benefits from 5 practitioners
Practice locations: Texas City, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1073762571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HIGHWAY 3 N",
            "address_2": "SUITE 100",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914048",
            "telephone_number": "409-938-5766",
            "fax_number": "409-938-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HIGHWAY 3 N",
            "address_2": "SUITE 100",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914048",
            "telephone_number": "409-938-5766",
            "fax_number": "409-938-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT T. KOCUREK M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "KOCUREK",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "TERRAZAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "409-938-5766",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.