Organization Active NPI

Corpus Christi Neurostar, LLC

  • Neurology Physician
  • Corpus Christi, TX
National Provider Identifier
1689020620
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CORPUS CHRISTI NEUROSTAR, LLC
Practice address
3825 S Padre Island Dr
Corpus Christi, TX 78415-2913
Phone
(361) 225-0089
NPI assigned
May 9, 2016
Last updated
May 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Adrianna Guerrero
Title
Office Manager
Phone
(214) 368-4668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary
Electrodiagnostic Medicine Physician 204R00000X NU

Addresses

Primary practice location

3825 S Padre Island Dr
Corpus Christi, TX 78415-2913

Mailing address

3825 S Padre Island Dr
Corpus Christi, TX 78415-2913

National Provider Directory

National Provider Directory

Locations

3825 Spid Dr
Corpus Christi, TX 78415
Phone (361) 225-0089

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1689020620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152913",
            "telephone_number": "361-225-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI NEUROSTAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-368-4668"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 10, 2016; 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.