Coastal Bend Primary Care Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L8345 Issued in TX

Legal business name

COASTAL BEND PRIMARY CARE CORP

Practice address

4621 S Staples
Suite a
Corpus Christi, TX 78411-2605

Phone

(361) 654-0050

Fax

(361) 654-0056

NPI assigned

Dec 16, 2009

Organization subpart

No

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

Authorized official

Name

Jesse G Garcia, M.D.

Title

Owner/MD

Phone

(361) 654-0050

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1639408974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 S STAPLES",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112605",
            "telephone_number": "361-654-0050",
            "fax_number": "361-654-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 S STAPLES",
            "address_2": "SUITE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112605",
            "telephone_number": "361-654-0050",
            "fax_number": "361-654-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND PRIMARY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "361-654-0050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8345",
            "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 Jun 14, 2011; 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.