Active NPI
Patricia P Corke, Mdpa
- Behavior Analyst
- Houston, TX
National Provider Identifier
1811140015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- D4962
- Legal business name
- PATRICIA P CORKE, MDPA
- Practice address
- 18333 Egret Bay Blvd
Suite 305
Houston, TX 77058-3265 - Phone
- (281) 333-5740
- Fax
- (281) 333-4013
- NPI assigned
- Oct 31, 2008
- 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
- Sonia Banda
- Title
- Billing
- Phone
- (281) 333-5740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | D4962 | TX | Primary |
Addresses
Primary practice location
18333 Egret Bay Blvd
Suite 305
Houston, TX 77058-3265
Mailing address
18333 Egret Bay Blvd
Suite 305
Houston, TX 77058-3265
Phone (281) 333-5740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91MQ | Other | TX | BLUE CROSS BLUE SHIELD |
| 115477501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
18333 Egret Bay Blvd
Ste 305
Houston, TX 77058
Phone (281) 333-5740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265068800000",
"number": "1811140015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18333 EGRET BAY BLVD",
"address_2": "SUITE 305",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583265",
"telephone_number": "281-333-5740",
"fax_number": "281-333-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18333 EGRET BAY BLVD",
"address_2": "SUITE 305",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583265",
"telephone_number": "281-333-5740",
"fax_number": "281-333-4013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA P CORKE, MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-31",
"last_updated": "2010-02-02",
"status": "A",
"authorized_official_last_name": "BANDA",
"authorized_official_first_name": "SONIA",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "281-333-5740"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "TX",
"license": "D4962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "91MQ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115477501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.