Coastal Bend Kids Clinic P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

COASTAL BEND KIDS CLINIC P.A.

Practice address

1018 S 14TH Street
Kingsville, TX 78363

Phone

(361) 592-0223

NPI assigned

Mar 19, 2007

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anil C Patel, MDNPI 1902880859

Title

President

Phone

(361) 592-0223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Coastal Bend Kids Clinic PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Bend Kids Clinic PA

  • Pediatrics Physician
  • Kingsville, TX
  • NPI 1730163684
  NPD tax ID

Locations

Practitioners 1

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.

• Anil C Patel, MD

  • Pediatrics Physician
  • Kingsville, TX
  • NPI 1902880859
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1174647788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1481",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783641481",
            "telephone_number": "361-592-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 S 14TH STREET",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-592-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND KIDS CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-592-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christus Spohn Kleberg Hospital (Emcare)
• Amber Insook Chun
• City of Kingsville
• Charles A Clements, D.D.S.
• Clinical Partners PA - Kingsville
• Coastal Bend Kids Clinic PA
• Coastal Bend Sports & Rehab LLC
• Coastal Bend Wellness Foundation Inc
• Ronald Cole, MD
• Community Action Corporation of South Texas (Community Action Health Center Kleberg)

• Pediatrics Physician in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.