Active NPI
Corridor Primary Care, PA
- Pediatrics Physician
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CORRIDOR PRIMARY CARE, PA
- Practice address
- 601B Leah Ave
San Marcos, TX 78666-7849 - Phone
- (512) 392-1700
- Fax
- (512) 396-8743
- NPI assigned
- Jul 6, 2006
- 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
- Michelle M Comstock, RN
- Title
- Office Manager
- Phone
- (512) 392-1700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
601B Leah Ave
San Marcos, TX 78666-7849
Mailing address
601B Leah Ave
San Marcos, TX 78666-7849
Phone (512) 392-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111671701 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0504327 | Corridor Primary Care | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
4221 Benner
Ste 205
Kyle, TX 78640
Phone (512) 392-1700
181A Kirkham Cir
Kyle, TX 78640
Phone (512) 392-1700
601A Leah Ave
San Marcos, TX 78666
Phone (210) 497-3972
1305 Wonder World Dr
Ste 306
San Marcos, TX 78666
Phone (512) 396-1000
601 Leah Ave
#B
San Marcos, TX 78666
Phone (512) 392-1700
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Austin, TX
- NPI 1043563406
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1447944798
-
- Pediatric Nurse Practitioner
- Austin, TX
- NPI 1457431488
-
- Physical Medicine & Rehabilitation Physician
- Austin, TX
- NPI 1992716237
-
- Pediatric Nurse Practitioner
- San Marcos, TX
- NPI 1598326597
-
- Pediatric Nurse Practitioner
- San Marcos, TX
- NPI 1114494150
-
- Pediatric Nurse Practitioner
- Elk Grove, CA
- NPI 1861130130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1124050836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601B LEAH AVE",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667849",
"telephone_number": "512-392-1700",
"fax_number": "512-396-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601B LEAH AVE",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667849",
"telephone_number": "512-392-1700",
"fax_number": "512-396-8743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORRIDOR PRIMARY CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "COMSTOCK",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "512-392-1700",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111671701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.