Organization Active NPI

Corpus Christi Neurology

  • Neurology Physician
  • Corpus Christi, TX
National Provider Identifier
1982713236
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CORPUS CHRISTI NEUROLOGY
Practice address
3301 S Alameda St Ste 501
Corpus Christi, TX 78411-1871
Phone
(361) 853-0867
Fax
(361) 853-0887
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Mrs. Patricia Hernandez
Title
Office Manager
Phone
(361) 853-0867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3301 S Alameda St Ste 501
Corpus Christi, TX 78411-1871

Mailing address

3301 S Alameda St Ste 501
Corpus Christi, TX 78411-1871
Phone (361) 853-0867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051123000154 TX Part B Supplier - Clinic/Group Practice 1850311606 Receives reassigned benefits from 5 practitioners
Practice locations: Corp Christi, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1982713236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST STE 501",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111871",
            "telephone_number": "361-853-0867",
            "fax_number": "361-853-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST STE 501",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111871",
            "telephone_number": "361-853-0867",
            "fax_number": "361-853-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-853-0867",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.