Coastal Bend Orthopaedic Specialists, PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

Q0940 Issued in TX

Legal business name

COASTAL BEND ORTHOPAEDIC SPECIALISTS, PLLC

Practice address

49 W Bar Le Doc Dr
Corpus Christi, TX 78414-6250

Phone

(612) 202-0179

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Andrew A Indresano, MD

Title

Manager

Phone

(612) 202-0179

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1770939696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W BAR LE DOC DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146250",
            "telephone_number": "612-202-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W BAR LE DOC DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146250",
            "telephone_number": "612-202-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND ORTHOPAEDIC SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "INDRESANO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-202-0179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "P8995",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "Q0940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Bend Internal Medicine PLLC
• Coastal Bend Neurology PA
• Coastal Bend Neuropsychology
• Coastal Bend Oncology Hematology
• Coastal Bend Oral & Facial Surgery, PA
• Coastal Bend Parameds, LLC
• Coastal Bend Pet Scan LTD
• Coastal Bend Premier Solutions, LLC
• Coastal Bend Primary Care Corp
• Coastal Bend Prosthetics

• Orthopaedic Surgery of the Spine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• 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.