Organization Active NPI

Corpus Clinics Management, LLC

  • Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1992194112
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CORPUS CLINICS MANAGEMENT, LLC
Practice address
5443 Everhart Rd
Suite D
Corpus Christi, TX 78411-4888
Phone
(361) 808-4433
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Mr. Jeffrey Rose
Title
Ceo/President
Phone
(281) 724-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5443 Everhart Rd
Suite D
Corpus Christi, TX 78411-4888

Mailing address

2626 S Loop W Ste 260
Houston, TX 77054-2849
Phone (281) 724-7788

National Provider Directory

National Provider Directory

Locations

5443 Everhart Rd
Ste D
Corpus Christi, TX 78411
Phone (361) 808-4433

2626 S Loop W
Ste 260
Houston, TX 77054
Phone (713) 661-2100

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1992194112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542849",
            "telephone_number": "281-724-7788",
            "fax_number": "713-838-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 EVERHART RD",
            "address_2": "SUITE D",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114888",
            "telephone_number": "361-808-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CLINICS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "281-724-7788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 12, 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.