Organization Active NPI

Patricia P Corke, Mdpa

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1811140015
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
D4962 Issued in TX
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

Updated by the provider on Feb 2, 2010

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
91MQOtherTXBLUE CROSS BLUE SHIELD
115477501MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.