Texas Wellness Center of Corpus Christi PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TEXAS WELLNESS CENTER OF CORPUS CHRISTI PLLC

Practice address

6122 Kostoryz Road
102
Corpus Christi, TX 78415

Phone

(361) 452-1916

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Candice Zimmer

Title

Credentialing Specialist

Phone

(361) 452-1916

Specialties & licenses 4

Addresses

Other names 1

• Texas Wellness Center of Corpus Christi Doing business as

Locations

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578093506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 KOSTORYZ ROAD",
            "address_2": "102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78415",
            "telephone_number": "361-452-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 KOSTORYZ ROAD",
            "address_2": "102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78415",
            "telephone_number": "361-452-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS WELLNESS CENTER OF CORPUS CHRISTI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "361-452-1916"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Wellness Center of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Wellness Center of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.