Organization Active NPI

Third Coast Health, PLLC

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1346739364
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5427 Issued in TX
Legal business name
THIRD COAST HEALTH, PLLC
Practice address
3560 S Alameda St Ste 4
Corpus Christi, TX 78411-1736
Phone
(136) 190-0996
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Robert A Webster, MDNPI 1336129691
Title
Director
Phone
(361) 900-9969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K5427 TX Primary

Addresses

Primary practice location

3560 S Alameda St Ste 4
Corpus Christi, TX 78411-1736

Mailing address

3560 S Alameda St Ste 4
Corpus Christi, TX 78411-1736
Phone (136) 190-0996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180619001961 TX Part B Supplier - Clinic/Group Practice 4880949650 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2149696Third Coast Health Laboratory3560 S Alameda # 4, Corpus Christi, TX 78411Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Locations

3560 S Alameda St
Ste 3
Corpus Christi, TX 78411
Phone (361) 854-4828

3560 S Alameda St
Ste 4
Corpus Christi, TX 78411
Phone (361) 900-9969

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1346739364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S ALAMEDA ST STE 4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111736",
            "telephone_number": "136-190-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 S ALAMEDA ST STE 4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111736",
            "telephone_number": "136-190-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-900-9969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.