Organization Active NPI

Carlos R Elizondo MD PLLC

Doing business as Elizondo Medical Group

  • Family Medicine Physician
  • Alice, TX
National Provider Identifier
1104278860
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6183 Issued in TX
Legal business name
CARLOS R ELIZONDO MD PLLC
Doing business as
Elizondo Medical Group
Practice address
230 S Gulf St
Alice, TX 78332-4310
Phone
(361) 664-0303
Fax
(866) 845-0933
NPI assigned
Jul 6, 2016
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Carlos Rafael Elizondo, MDNPI 1417391764
Title
Authorized Official
Phone
(361) 664-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q6183 TX Primary

Addresses

Primary practice location

230 S Gulf St
Alice, TX 78332-4310

Mailing address

PO Box 850
Alice, TX 78333-0850
Phone (361) 664-0303

Other practice location 1

5710 Esplanade Dr
Corpus Christi, TX 78414-4165
Phone (361) 991-8000

Other practice location 2

2701 Morgan Ave
Corpus Christi, TX 78405-1824
Phone (361) 452-0799

Other practice location 3

1921 E King Ave
Kingsville, TX 78363-4832
Phone (361) 355-9700

Other names 1

  • Elizondo Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160915001121 TX Part B Supplier - Clinic/Group Practice 0749576874 Receives reassigned benefits from 14 practitioners
Practice locations: Alice, TX; Corpus Christi, TX; Kingsville, TX; Victoria, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2123328Elizondo Medical Group230 S Gulf St, Alice, TX 78332Certificate of waiverDec 18, 2026
45D2156842Carlos R Elizondo MD PLLC5710 Esplanade Drive, Corpus Christi, TX 78414Certificate of waiverOct 24, 2026
45D2166618Carlos R Elizondo MD PLLC2701 Morgan Ave, Suite #400, Corpus Christi, TX 78405Certificate of waiverMay 20, 2027

National Provider Directory

National Provider Directory

Locations

1044 E Front St
Alice, TX 78332
Phone (361) 664-0202

230 S Gulf St
Alice, TX 78332
Phone (361) 661-0388

317 E 1st St
Alice, TX 78332
Phone (361) 661-1979

2701 Morgan Ave
Corpus Christi, TX 78405
Phone (361) 452-0799

1921 E King Ave
Kingsville, TX 78363
Phone (361) 355-9700

314 E Kleberg Ave
Kingsville, TX 78363
Phone (361) 355-9700

302 E Airline Rd
Victoria, TX 77901
Phone (361) 339-2093

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1104278860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783330850",
            "telephone_number": "361-664-0303",
            "fax_number": "361-668-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S GULF ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324310",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Esplanade Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144165",
            "country_code": "US",
            "telephone_number": "361-991-8000",
            "fax_number": "877-494-7986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Morgan Ave",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784051824",
            "country_code": "US",
            "telephone_number": "361-452-0799",
            "fax_number": "877-587-6802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 E King Ave",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783634832",
            "country_code": "US",
            "telephone_number": "361-355-9700",
            "fax_number": "866-845-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLOS R ELIZONDO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "361-664-0303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizondo Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.