Organization Active NPI

Lone Star Infectious Disease Consultants, PLLC

  • Infectious Disease Physician
  • Corpus Christi, TX
National Provider Identifier
1477669265
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
M1350 Issued in TX
Legal business name
LONE STAR INFECTIOUS DISEASE CONSULTANTS, PLLC
Practice address
1902 Morgan Ave
Corpus Christi, TX 78404-3554
Phone
(361) 884-9400
Fax
(361) 906-2626
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Colette Simon, M.D.
Title
President
Phone
(361) 906-1027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X M1350 TX Primary

Addresses

Primary practice location

1902 Morgan Ave
Corpus Christi, TX 78404-3554

Mailing address

PO Box 5426
Corpus Christi, TX 78465-5426
Phone (361) 906-1027

Other identifiers 1

IdentifierTypeStateIssuer
184715401MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1477669265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5426",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784655426",
            "telephone_number": "361-906-1027",
            "fax_number": "361-906-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043554",
            "telephone_number": "361-884-9400",
            "fax_number": "361-906-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR INFECTIOUS DISEASE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-906-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M1350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184715401",
            "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 Mar 29, 2010; 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.