Active NPI
Physician Care & Diagnostics Center, LLC
- Sonography Specialist/Technologist Cardiovascular
- Corpus Christi, TX
National Provider Identifier
1124004148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- Legal business name
- PHYSICIAN CARE & DIAGNOSTICS CENTER, LLC
- Practice address
- 3829 Saratoga Blvd
Corpus Christi, TX 78415-5814 - Phone
- (361) 225-2624
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rodolfo Maldonado
- Title
- Member
- Phone
- (832) 692-6560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | TX | Primary |
Addresses
Primary practice location
3829 Saratoga Blvd
Corpus Christi, TX 78415-5814
Mailing address
PO Box 420719
Houston, TX 77242-0719
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0330DC | Other | TX | BC/BS OF TEXAS |
| 160385401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
6550 Mapleridge St
Ste 103
Houston, TX 77081
Phone (713) 668-6200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392076800000",
"number": "1124004148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 420719",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772420719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3829 SARATOGA BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784155814",
"telephone_number": "361-225-2624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN CARE & DIAGNOSTICS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-21",
"last_updated": "2014-02-11",
"status": "A",
"authorized_official_last_name": "MALDONADO",
"authorized_official_first_name": "RODOLFO",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "832-692-6560",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TEXAS",
"identifier": "0330DC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160385401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- Samantha Phillips
- Sarah Elise Phillips, CCC-SLP
- Phoenix Rising Wellness Center of Corpus Christi, PLLC
- Physical Therapy Services, Inc.
- Physical Therapy-Pediatric Therapy Associates PLLC
- Physicians Express PLLC
- Mia Marissa Piazza, MOT LOTR
- Laura Elizabeth Picha, PT, DPT
- Catherine L Pierce, PT
- Claire Pierce, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.