Organization Active NPI

Christi M Tupa MD PA

  • Legal Medicine
  • Victoria, TX
National Provider Identifier
1811195829
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
L4769 Issued in TX
Legal business name
CHRISTI M TUPA MD PA
Practice address
115 Medical Dr
Suite 208
Victoria, TX 77904-3102
Phone
(361) 573-7900
Fax
(361) 573-7959
NPI assigned
Jul 11, 2007
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mrs. Doris J Hofferek
Title
Office Manager
Phone
(361) 573-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X L4769 TX Primary

Addresses

Primary practice location

115 Medical Dr
Suite 208
Victoria, TX 77904-3102

Mailing address

115 Medical Dr
Suite 208
Victoria, TX 77904-3102
Phone (361) 573-7900

Other identifiers 1

IdentifierTypeStateIssuer
0029JVOtherTXBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1811195829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR",
            "address_2": "SUITE 208",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043102",
            "telephone_number": "361-573-7900",
            "fax_number": "361-573-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR",
            "address_2": "SUITE 208",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043102",
            "telephone_number": "361-573-7900",
            "fax_number": "361-573-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTI M TUPA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "HOFFEREK",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-573-7900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "L4769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0029JV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.