Organization Active NPI

T L C Medical Centers, LLC

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1508174939
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2598 Issued in TX
Legal business name
T L C MEDICAL CENTERS, LLC
Practice address
7326 S Staples St
Corpus Christi, TX 78413-5509
Phone
(361) 993-0188
Fax
(361) 993-0240
NPI assigned
Sep 20, 2010
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Brian C Rich, DONPI 1548258668
Title
Physician
Phone
(361) 993-0188

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L2598 TX
Family Medicine Physician 207Q00000X L2598 TX Primary

Addresses

Primary practice location

7326 S Staples St
Corpus Christi, TX 78413-5509

Mailing address

7326 S. Staples
Corpus Christi, TX 78413-5316
Phone (361) 993-0188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000802 TX Part B Supplier - Clinic/Group Practice 1759566565 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

14317 Northwest Blvd
Ste D
Corpus Christi, TX 78410
Phone (361) 993-5105

7326 S Staples St
#A
Corpus Christi, TX 78413
Phone (361) 993-0188

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1508174939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 S. STAPLES",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135316",
            "telephone_number": "361-993-0188",
            "fax_number": "361-993-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135509",
            "telephone_number": "361-993-0188",
            "fax_number": "361-993-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T L C MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "361-993-0188",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L2598",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2598",
            "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 Apr 8, 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.