Organization Active NPI

Coastal Bend Surgery Center, LTD.

  • Ambulatory Surgical Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1710071543
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008062 Issued in TX
Legal business name
COASTAL BEND SURGERY CENTER, LTD.
Practice address
5837 Spohn Dr
Corpus Christi, TX 78413-4121
Phone
(361) 993-2000
Fax
(361) 985-6834
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mrs. Nicole Morales
Title
Cfo
Phone
(361) 993-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008062 TX Primary

Addresses

Primary practice location

5837 Spohn Dr
Corpus Christi, TX 78413-4121

Mailing address

6130 Parkway Drive
Corpus Christi, TX 78414-4121
Phone (361) 993-2000

Other identifiers 3

IdentifierTypeStateIssuer
P00125360OtherTXPALMETTO RR MEDICARE PROV
085857301MedicaidTX
HH1243OtherTXBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1710071543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 PARKWAY DRIVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144121",
            "telephone_number": "361-993-2000",
            "fax_number": "361-985-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5837 SPOHN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134121",
            "telephone_number": "361-993-2000",
            "fax_number": "361-985-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND SURGERY CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-993-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE PROV",
            "identifier": "P00125360",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085857301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "HH1243",
            "state": "TX"
        }
    ],
    "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 Jul 13, 2010; 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.