Active NPI
Oncology Services of Corpus Christi LLC
Doing business as dba Corpus Christi Cancer Center
- Diagnostic Radiology Physician
- Corpus Christi, TX
National Provider Identifier
1609064971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ONCOLOGY SERVICES OF CORPUS CHRISTI LLC
- Doing business as
- dba Corpus Christi Cancer Center
- Practice address
- 1625 Rodd Field Road
Suite 200
Corpus Christi, TX 78412 - Phone
- (361) 993-3456
- Fax
- (361) 992-4198
- NPI assigned
- Oct 11, 2007
- Last updated
- Feb 4, 2008
- 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
- Lavelle Hardin
- Title
- Credentialing Coordinator
- Phone
- (615) 344-8203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
1625 Rodd Field Road
Suite 200
Corpus Christi, TX 78412
Mailing address
1625 Rodd Field Road
Suite 200
Corpus Christi, TX 78412
Phone (361) 993-3456
Other names 1
- dba Corpus Christi Cancer Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202083200000",
"number": "1609064971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 RODD FIELD ROAD",
"address_2": "SUITE 200",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78412",
"telephone_number": "361-993-3456",
"fax_number": "361-992-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 RODD FIELD ROAD",
"address_2": "SUITE 200",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78412",
"telephone_number": "361-993-3456",
"fax_number": "361-992-4198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONCOLOGY SERVICES OF CORPUS CHRISTI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2008-02-04",
"status": "A",
"authorized_official_last_name": "HARDIN",
"authorized_official_first_name": "LAVELLE",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "615-344-8203"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Corpus Christi Cancer Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.