Southside Family Care Associates PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

H4757 Issued in TX

Legal business name

SOUTHSIDE FAMILY CARE ASSOCIATES PA

Practice address

5934 S Staples St Ste 224
Corpus Christi, TX 78413-3842

Phone

(361) 985-1420

Fax

(361) 992-9237

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rob M Tschauner, MD.NPI 1427033067

Title

President

Phone

(361) 985-1420

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Rob Michael Tschauner, MD

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1427033067
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1376665018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST STE 224",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133842",
            "telephone_number": "361-985-1420",
            "fax_number": "361-992-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST STE 224",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133842",
            "telephone_number": "361-985-1420",
            "fax_number": "361-992-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE FAMILY CARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "TSCHAUNER",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-985-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "H4757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083971401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Sports Medicine Inc
• South Texas Substance Abuse Recovery Services
• South Texas Surgical Assistants, Inc.
• South Texas Surgical Assisting LLC
• South TX Mission of Mercy
• Southside Pharmacy Inc
• Southside Pharmacy Inc
• Southside Specialty Surgical Center LLC
• Southside Women'S Center, P.a.
• Southwest LTC - Corpus, LLC

• Primary Care Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.