Active NPI
South Coast Health Care of Texas, PA
- General Practice Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SOUTH COAST HEALTH CARE OF TEXAS, PA
- Practice address
- 2700 Citizens PLZ Ste 100
Victoria, TX 77901-5756 - Phone
- (361) 579-1371
- Fax
- (361) 579-1373
- NPI assigned
- Jul 15, 2006
- Last updated
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don McKay
- Title
- Ceo
- Phone
- (361) 572-0333
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
2700 Citizens PLZ Ste 100
Victoria, TX 77901-5756
Mailing address
1908 N Laurent St Ste 410
Victoria, TX 77901-5469
Phone (361) 572-0333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081198601 | Medicaid | TX | |
| 0081AX | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0973970 | South Coast Health Care of Texas, PA | Certificate of waiver | Dec 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
2700 Citizens Plz
#100S
Victoria, TX 77901
Phone (361) 579-1371
601 E San Antonio St
#203
Victoria, TX 77901
Phone (361) 576-0004
605 E San Antonio St
#410S
Victoria, TX 77901
Phone (512) 788-6700
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Family Nurse Practitioner
- Victoria, TX
- NPI 1487021762
-
- Family Medicine Physician
- Victoria, TX
- NPI 1336162064
-
- Family Nurse Practitioner
- Victoria, TX
- NPI 1366882201
-
- Physician Assistant
- Victoria, TX
- NPI 1457540585
-
- Family Nurse Practitioner
- Victoria, TX
- NPI 1558721886
-
- Family Medicine Physician
- Victoria, TX
- NPI 1275553596
-
- Nurse Practitioner
- Victoria, TX
- NPI 1861808636
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1922028224
-
- Medical Physician Assistant
- Cuero, TX
- NPI 1922196393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1508882036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 N LAURENT ST STE 410",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015469",
"telephone_number": "361-572-0333",
"fax_number": "361-572-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 CITIZENS PLZ STE 100",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015756",
"telephone_number": "361-579-1371",
"fax_number": "361-579-1373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COAST HEALTH CARE OF TEXAS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "MCKAY",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "361-572-0333"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081198601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0081AX",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
- Angelle T Solano, LMSW
- Emily Patricia Solarte Zabaleta, MD
- David J Solis, CRNA
- Christie Ann Soliz, M.ED. BCBA
- Solo Anesthesia Services, PLLC
- South Padre Island Pediatric Clinic PA
- South Texas Chiropractic & Rehab
- South Texas Eye Associates (South Texas Eye Center)
- South Texas Eye Surgicenter Inc
- South Texas Plastic Surgery, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.