Organization Active NPI

Family Health Spa LLC

  • General Practice Physician
  • Corpus Christi, TX
National Provider Identifier
1174837181
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAMILY HEALTH SPA LLC
Practice address
10102 S Padre Island Dr
Corpus Christi, TX 78418-4410
Phone
(361) 937-3303
Fax
(361) 937-3305
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
William Vanburkleo, DO
Title
Owner
Phone
(361) 815-7818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10102 S Padre Island Dr
Corpus Christi, TX 78418-4410

Mailing address

10102 S Padre Island Dr
Corpus Christi, TX 78418-4410
Phone (361) 937-3303

Other names 1

  • Family Health Spa & Minor Emergency Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

10102 S Padre Island Dr
Corpus Christi, TX 78418
Phone (361) 937-3303

10102 S Padre Island Dr
#D
Corpus Christi, TX 78418
Phone (361) 937-3303

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1174837181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784184410",
            "telephone_number": "361-937-3303",
            "fax_number": "361-937-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784184410",
            "telephone_number": "361-937-3303",
            "fax_number": "361-937-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "VANBURKLEO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-815-7818",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Spa & Minor Emergency Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.