Organization Active NPI

Texas Medical Recovery Group PLLC

  • Internal Medicine Physician
  • South Padre Island, TX
National Provider Identifier
1255993713
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEXAS MEDICAL RECOVERY GROUP PLLC
Practice address
4901 Padre Blvd
South Padre Island, TX 78597-7320
Phone
(956) 299-4748
Fax
(210) 634-3961
NPI assigned
Jul 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Adam Bianchini, MD
Title
Medical Director
Phone
(561) 841-1051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

4901 Padre Blvd
South Padre Island, TX 78597-7320

Mailing address

4001 Maple Ave Ste 300
Dallas, TX 75219-3241
Phone (214) 817-4964

National Provider Directory

National Provider Directory

Locations

4901 Padre Blvd
South Padre Island, TX 78597
Phone (956) 299-4694

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1255993713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MAPLE AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193241",
            "telephone_number": "214-817-4964",
            "fax_number": "210-634-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 PADRE BLVD",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977320",
            "telephone_number": "956-299-4748",
            "fax_number": "210-634-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL RECOVERY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "BIANCHINI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-841-1051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.