Organization Active NPI

Dr V PLLC

  • Primary Care Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1609423540
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DR V PLLC
Practice address
13801 Jolly Roger St
Corpus Christi, TX 78418-6924
Phone
(361) 800-5917
Fax
(361) 867-1067
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Dr. Peter Vasconcellos, DONPI 1750359915
Title
Physician
Phone
(920) 883-2521

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

13801 Jolly Roger St
Corpus Christi, TX 78418-6924

Mailing address

14493 Spid Dr Ste A288
Corpus Christi, TX 78418-5931
Phone (361) 800-5917

National Provider Directory

National Provider Directory

Locations

14493 Spid Dr
Ste A288
Corpus Christi, TX 78418
Phone (920) 883-2521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1609423540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14493 SPID DR STE A288",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185931",
            "telephone_number": "361-800-5917",
            "fax_number": "361-867-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 JOLLY ROGER ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186924",
            "telephone_number": "361-800-5917",
            "fax_number": "361-867-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR V PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "VASCONCELLOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "920-883-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Mar 13, 2020; 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.