Coastal Bend Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4188 Issued in TX

Legal business name

COASTAL BEND INTERNAL MEDICINE PLLC

Doing business as

Coastal Bend Urgent Care and Walk In Clinic

Practice address

1752 Santa Fe St
Corpus Christi, TX 78404-1857

Phone

(361) 548-6686

NPI assigned

Apr 24, 2013

Last updated

Feb 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Ibanez, MD

Title

Owner

Phone

(361) 429-7244

Specialties & licenses 2

Addresses

Other names 1

• Coastal Bend Urgent Care and Walk In Clinic Doing business as

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1891139580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 SANTA FE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041857",
            "telephone_number": "361-548-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 SANTA FE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041857",
            "telephone_number": "361-548-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-429-7244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4188",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M4188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Bend Urgent Care and Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Bend Family Medicine, P.a.
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• Coastal Bend Home Health LLC
• Coastal Bend House Calls
• Coastal Bend Neurology PA
• Coastal Bend Neuropsychology
• Coastal Bend Oncology Hematology (Ester B. Pollard, M.D.)
• Coastal Bend Oral & Facial Surgery, PA
• Coastal Bend Orthopaedic Specialists, PLLC

• Internal Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.