Healthy Promise Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R0869 Issued in TX

Legal business name

HEALTHY PROMISE FAMILY PRACTICE

Practice address

5920 Saratoga Blvd Ste 470
Corpus Christi, TX 78414-4108

Phone

(361) 884-2904

Fax

(361) 884-1912

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Kyla Fermena Heusner-Banks, MD

Title

President

Phone

(361) 884-2904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1508367616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-884-2904",
            "fax_number": "361-884-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 470",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144108",
            "telephone_number": "361-884-2904",
            "fax_number": "361-884-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY PROMISE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "HEUSNER-BANKS",
        "authorized_official_first_name": "KYLA",
        "authorized_official_middle_name": "FERMENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-884-2904",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.