CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS (NPI# 1356519565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356519565 |
Entity Type | Organization |
Organization Name | CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS |
Other Organization Name | CHILDREN'S SURGICAL SERVICES OF SOUTH TEXAS |
Practice Address |
3533 S Alameda St Ste 302 Corpus Christi TX 78411-1721 |
Practice Telephone | 3616944700 |
Enumeration Date | 2008-02-11 |
Last Update Date | 2011-12-02 |
Authorized Official Name | DALE OBERMUELLER (ADMINISTRATOR) |
Authorized Official Telephone | 3616945081 |
Is Organization Subpart | Y |
Parent Organization Name | CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Children's Surgical Services of South Texas | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154555928 | Children's Physician Services of South Texas | Pediatrics | 115 Medical Dr Ste 201, Victoria, TX 77904-3105 | 2009-05-08 |
1568658227 | Children's Physician Services of South Texas | Plastic Surgery | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2007-09-17 |
1598737124 | Children's Physician Services of South Texas | Radiology | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-02-07 |
Street Address |
3533 S ALAMEDA ST STE 302 |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78411-1721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
Find all providers in zip 78411 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215025911 | Mohammad A Emran | Surgery | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-10-10 |
1982643979 | Haroon I Patel | Surgery | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-06-05 |
1740231703 | P. Stephen Almond | Surgery | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255775169 | Natasha Corbitt | Surgery | 1935 Medical District Dr Ste D2000, Dallas, TX 75235-7701 | 2013-04-22 |
1821327362 | South Texas Health Alliance | Surgery | 528 North Union Street, Suite 250, New Braunfels, TX 78130 | 2009-12-11 |
1821271503 | Charles E. Baldwin Md | Surgery | 18866 Stone Oak Pkwy # 103-21, San Antonio, TX 78258-4180 | 2007-12-17 |
1801845318 | Ambrosio Hernandez IIi | Surgery | 1120 E Ridge Rd, Mcallen, TX 78503-5411 | 2006-05-10 |
1477516201 | Jane Franklin Goldthorn | Surgery | 4102 22nd Pl, Lubbock, TX 79410-1122 | 2006-04-11 |
1528049723 | Charles Thomas Black | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2005-11-07 |
1578554895 | William W Spurbeck | Surgery | 5340 El Paso Dr Ste M, El Paso, TX 79905-2837 | 2005-11-04 |
1104820554 | Charles Eugene Baldwin | Surgery | 502 Madison Oak Drive, Suite 330, San Antonio, TX 78258-4298 | 2005-06-13 |
1649870304 | Parkhill Surgery Center Plano, LLC | Surgery | 7000 W Plano Pkwy, Plano, TX 75093-8466 | 2020-10-30 |
1710511209 | Fumiya Yoneyama | Surgery | 6701 Fannin St, Houston, TX 77030-2608 | 2020-02-24 |
Find all providers with the same taxonomy |
City | CORPUS CHRISTI |
Zip Code | 78411 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.