Texas a&M Health Science Center-Coastal Bend Health Education Center

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

TEXAS A&M HEALTH SCIENCE CENTER-COASTAL BEND HEALTH EDUCATION CENTER

Doing business as

Coastal Bend Health Education Center

Practice address

4101 Old Brownsville Road
HS1 Building, Suite 262
Corpus Christi, TX 78405

Phone

(361) 857-2945

Fax

(361) 857-2963

NPI assigned

Jun 5, 2013

Organization subpart

Yes

Parent organization

TEXAS A&M HEALTH SCIENCE CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Barry C Nelson, PH.D.

Title

VP for Finance & Administration

Phone

(979) 436-9202

Specialties & licenses 1

Addresses

Other names 1

• Coastal Bend Health Education Center Doing business as

Part of

Texas a and M University Sy

Locations

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1780022491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 OCEAN DRIVE",
            "address_2": "NRC 3500, UNIT 5861",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784125861",
            "telephone_number": "361-825-2804",
            "fax_number": "361-825-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 OLD BROWNSVILLE ROAD",
            "address_2": "HS1 BUILDING, SUITE 262",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78405",
            "telephone_number": "361-857-2945",
            "fax_number": "361-857-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS A&M HEALTH SCIENCE CENTER-COASTAL BEND HEALTH EDUCATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS A&M HEALTH SCIENCE CENTER",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP FOR FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "979-436-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Bend Health Education Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.