NAVAL HEALTH CLINIC CORPUS CHRISTI (NPI# 1417056664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417056664 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC CORPUS CHRISTI |
| Practice Address |
1711 Doolittle Ave Ft Worth TX 76127 |
| Mailing Address |
1711 Doolittle Ave Ft Worth TX 76127-1133 |
| Practice Telephone | 8177826120 |
| Practice Fax Number | 8177825930 |
| Mailing Telephone | 8177826120 |
| Mailing Fax Number | 8177825930 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC CORPUS CHRISTI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2092911 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427157668 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Corpus Christi, TX 78419 | 2006-09-22 |
| 1417054263 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 730 Forrestal St Bldg 375101, Kingsville, TX 78363 | 2006-09-20 |
| 1922410554 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-06-02 |
| 1275945776 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 730 Forrestal St Bldg 3775, Kingsville, TX 78363 | 2014-06-02 |
| 1033521737 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2014-05-29 |
| 1821349002 | Naval Health Clinic Corpus Christi | Clinic/Center | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-09-27 |
| 1881662906 | Naval Health Clinic Corpus Christi | Clinic/Center | 10651 E St, Code: 00rmb, Corpus Christi, TX 78419 | 2006-03-14 |
| Street Address |
1711 DOOLITTLE AVE |
| City | FT WORTH |
| State | TX |
| Zip Code | 76127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942654462 | Damon A Cates | Physician Assistant | Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 | 2016-04-21 |
| 1821332628 | Patricia Byrd | Psychologist | 3000 'j' Street, Fort Worth, TX 76127 | 2012-11-16 |
| 1992976435 | Carlos Estevez | Physical Therapist | J Street Building 3000, Naval Air Station, Fort Worth, TX 76127 | 2008-03-12 |
| 1346284064 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1880 Mlty Pky, Ft. Worth, TX 76127 | 2006-06-15 |
| 1679516330 | Texas Exchange Eye Care, L.p. | Optometrist | 1880 Military Parkway, Building 1880, Fort Worth, TX 76127 | 2006-06-13 |
| 1073571428 | Alysa Michele Jackson | Social Worker | 3000 'j' Street, Federal Medical Center, Carswell, Fort Worth, TX 76127 | 2006-05-03 |
| 1659366219 | Jeanette Grullon-mejia | Family Medicine | J Street, Building 3000, Fort Worth, TX 76127 | 2005-09-20 |
| 1700126570 | Dr Buie & Associates PC | Optometrist | 1880 Military Parkway, Ft. Worth, TX 76127 | 2013-02-15 |
| 1194022566 | William Resto-rivera | Military Health Care Provider | J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 | 2011-02-22 |
| 1275961328 | Fort Worth Health Rejuvenation | Nursing Facility/Intermediate Care Facility | 3253 Desert Storm Rd, Fort Worth, TX 76127-1029 | 2013-10-29 |
| Find all providers in zip 76127 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532510 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | 7800 W Ih 10 Ste 235, San Antonio, TX 78230-4768 | 2019-08-08 |
| 1508364258 | Wilford Hall Medical Center | Military/U.S. Coast Guard Pharmacy | 25615 Us Highway 281 N Ste 215, San Antonio, TX 78258-7135 | 2018-01-29 |
| 1831502590 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | 2401 Scott Rd, Brooke Army Medical Center, Fort Sam Houston, TX 78234 | 2014-06-10 |
| 1124431317 | Carl R. Darnall Army Medical Center | Military/U.S. Coast Guard Pharmacy | 4250 Clear Creek Rd, Room 406, Fort Hood, TX 76544-5095 | 2014-06-05 |
| 1134479413 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | Torch St Rm C101, Bldg 21227, Ft Bliss, TX 79916 | 2012-09-14 |
| 1053618546 | Brooke Army Medical Center | Military/U.S. Coast Guard Pharmacy | 6501 Fm 3009, Suite 210, Schertz, TX 78154 | 2011-02-17 |
| 1740580125 | Carl R Darnall Army Medical Center | Military/U.S. Coast Guard Pharmacy | 458 W Highway 190, Town Square Shopping Center, Copperas Cove, TX 76522-3904 | 2010-11-01 |
| 1477853851 | Carl R Darnall Army Medical Center | Military/U.S. Coast Guard Pharmacy | Market Heights Shopping Center 201 E., Central Texas Expressway, Harker Heights, TX 76548 | 2010-11-01 |
| 1891003000 | Carl R Darnall Amry Medical Center | Military/U.S. Coast Guard Pharmacy | 2245 761st Tank Bn, Bldg 2245, Fort Hood, TX 76544 | 2010-09-22 |
| 1962718726 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | Haan Rd, Ste A-11 Bldg 1611, Ft Bliss, TX 79916 | 2010-08-31 |
| Find all providers with the same taxonomy | ||||
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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.