Driscoll Maternal & Fetal Physicians Group
Organization Active NPI Obstetrics & Gynecology Physician · Corpus Christi, TX
NPI 1821041815 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1821041815
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP
- Practice address
- 5920 Saratoga Blvd
Siite 110
Corpus Christi, TX 78414-4103 - Phone
- (361) 694-1660
- Fax
- (361) 808-2131
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Derrick Parker
- Title
- President/Administrator
- Phone
- (361) 694-5081
Practitioners 1
-
Selina M Rodriguez, APRN
National Provider Directory
Locations
5500 N Expressway
#77
Brownsville, TX 78526
2220 Haine Dr
Ste 46
Harlingen, TX 78550
Phone (956) 428-0897
2121 Pease St
Ste 604
Harlingen, TX 78550
Phone (361) 980-1244
6423 McPherson Rd
Laredo, TX 78041
Phone (956) 764-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
5920 Saratoga Blvd
Siite 110
Corpus Christi, TX 78414-4103
Mailing address
5920 Saratoga Blvd
Siite 110
Corpus Christi, TX 78414-4103
Phone (361) 694-1660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171695301 | Medicaid | TX | |
| 0082MA | Other | TX | BC/BS |
| 171695302 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1821041815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 SARATOGA BLVD",
"address_2": "SIITE 110",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144103",
"telephone_number": "361-694-1660",
"fax_number": "361-808-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 SARATOGA BLVD",
"address_2": "SIITE 110",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144103",
"telephone_number": "361-694-1660",
"fax_number": "361-808-2131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "DERRICK",
"authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
"authorized_official_telephone_number": "361-694-5081"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171695301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "0082MA",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171695302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- Driscoll Children'S Hospital
- Driscoll Children'S Hospital
- Driscoll Childrens Hospital
- Driscoll Maternal & Fetal Physicians Group
- Driscoll Maternal & Fetal Physicians Group
- Driscoll Physicians Group
- Driscoll Physicians Group
- Witold Drozdowski
- Mark Christopher Drumhiller
- Caitlin Lillian Drummond
All providers in Corpus Christi, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.