Organization Active NPI

Antonio Guzman M.D.,.P.a.

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1366737363
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANTONIO GUZMAN M.D.,.P.A.
Practice address
3240 Fort Worth St
120
Corpus Christi, TX 78411-2459
Phone
(361) 985-1115
Fax
(361) 985-1467
NPI assigned
Jun 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Dr. Antonio Guzman, M.D.
Title
Physician/Owner
Phone
36199851115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3240 Fort Worth St
120
Corpus Christi, TX 78411-2459

Mailing address

3240 Fort Worth St
120
Corpus Christi, TX 78411-2459
Phone (361) 985-1115

Other identifiers 1

IdentifierTypeStateIssuer
284217101MedicaidTX

National Provider Directory

National Provider Directory

Locations

7121 Spid Dr
Ste 104A
Corpus Christi, TX 78412
Phone (361) 549-6420

Practitioners & affiliated clinicians

Practitioners 3

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": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1366737363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 FORT WORTH ST",
            "address_2": "120",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112459",
            "telephone_number": "361-985-1115",
            "fax_number": "361-985-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 FORT WORTH ST",
            "address_2": "120",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112459",
            "telephone_number": "361-985-1115",
            "fax_number": "361-985-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO GUZMAN M.D.,.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "36199851115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284217101",
            "state": "TX"
        }
    ],
    "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 Jul 24, 2013; 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.