Organization Active NPI

Gastroenterology & Advanced Endoscopy Specialist, PLLC.

  • Gastroenterology Physician
  • Corpus Christi, TX
National Provider Identifier
1952541740
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY & ADVANCED ENDOSCOPY SPECIALIST, PLLC.
Practice address
613 Elizabeth St
Suite 509
Corpus Christi, TX 78404-2220
Phone
(361) 331-2828
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Annette Castro
Title
Office Manager
Phone
(361) 882-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

613 Elizabeth St
Suite 509
Corpus Christi, TX 78404-2220

Mailing address

P.O. Box 674054
Vicor Box 674054
Dallas, TX 75267-4054

National Provider Directory

National Provider Directory

Locations

613 Elizabeth St
Ste 509
Corpus Christi, TX 78404
Phone (361) 331-2828

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1952541740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 674054",
            "address_2": "VICOR BOX 674054",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST",
            "address_2": "SUITE 509",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042220",
            "telephone_number": "361-331-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & ADVANCED ENDOSCOPY SPECIALIST, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-882-3010"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.