Organization Active NPI

Premier Concierge Medicine

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1669338455
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER CONCIERGE MEDICINE
Practice address
6202 Dunbarton Oak St Ste 200a
Corpus Christi, TX 78414-4303
Phone
(361) 391-5056
NPI assigned
Dec 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Marianne Hazelitt, DONPI 1558655027
Title
Physician Owner
Phone
(310) 408-0227

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6202 Dunbarton Oak St Ste 200a
Corpus Christi, TX 78414-4303

Mailing address

13 Reserve Blvd
Corpus Christi, TX 78414-3596
Phone (310) 408-0227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260408000220 TX Part B Supplier - Clinic/Group Practice 9739654765 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

6202 Dunbarton Oak St
Ste 200A
Corpus Christi, TX 78414
Phone (361) 391-5056

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": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1669338455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RESERVE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143596",
            "telephone_number": "310-408-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 DUNBARTON OAK ST STE 200A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144303",
            "telephone_number": "361-391-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CONCIERGE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "HAZELITT",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "310-408-0227",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.