Active NPI
Complete Emergency Care Padre Island LLC
- Emergency Care Clinic/Center
- Corpus Christi, TX
National Provider Identifier
1699201475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- COMPLETE EMERGENCY CARE PADRE ISLAND LLC
- Practice address
- 14433 S Padre Island Dr
Corpus Christi, TX 78418-5938 - Phone
- (817) 421-0012
- Fax
- (817) 421-0036
- NPI assigned
- May 11, 2017
- 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
- Braxton Neiman
- Title
- General Counsel
- Phone
- (817) 421-0034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
14433 S Padre Island Dr
Corpus Christi, TX 78418-5938
Mailing address
PO Box 92965
Southlake, TX 76092-0965
Phone (817) 421-0012
Other names 1
- TLC Complete Care Padre Island
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1699201475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92965",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760920965",
"telephone_number": "817-421-0012",
"fax_number": "817-421-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14433 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784185938",
"telephone_number": "817-421-0012",
"fax_number": "817-421-0036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE EMERGENCY CARE PADRE ISLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "NEIMAN",
"authorized_official_first_name": "BRAXTON",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "817-421-0034"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TLC Complete Care Padre Island",
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.