Pediatric Surgical Specialists of South Texas

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

L1528 Issued in TX

Legal business name

PEDIATRIC SURGICAL SPECIALISTS OF SOUTH TEXAS

Practice address

3533 S Alameda St
#209
Corpus Christi, TX 78411-1721

Phone

(361) 854-0201

Fax

(361) 855-7572

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By 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. John Mark Morales, M.D.

Title

President

Phone

(361) 854-0201

Specialties & licenses 2

Addresses

Tax ID family

Pediatric Surgical Specialists of South Texas2 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.

• Pediatric Surgical Specialists of South Texas LLP

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Corpus Christi, TX
  • NPI 1639303910
  NPD tax ID

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1275771792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30104",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784630104",
            "telephone_number": "361-854-0201",
            "fax_number": "361-855-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "address_2": "#209",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-854-0201",
            "fax_number": "361-855-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGICAL SPECIALISTS OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-854-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J5418",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L1528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Joseph Pebbles, LPC-A
• Jerri Peck, SLP
• Jacob Daniel Pedersen, INDEPENDENT DUTY CO
• Pediatric Clinic of South Texas (Fe E Pizarro, M.D. P.A.)
• Pediatric Services Inc. (Pediatric Pharmacy)
• Pediatric Surgical Specialists of South Texas LLP
• Pediatric Therapy Associates-Speech, PLLC
• Pediatrix Dental, P.a.
• Pedicare Childrens Urgent Care PA (Kidz Urgent Care)
• Ruben Pedraza Jr., M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.