COASTAL BEND PRIMARY CARE CORP (NPI# 1639408974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639408974 |
| Entity Type | Organization |
| Organization Name | COASTAL BEND PRIMARY CARE CORP |
| Practice Address |
4621 S Staples Suite A Corpus Christi TX 78411-2605 |
| Mailing Address |
4621 S Staples Corpus Christi TX 78411-2605 |
| Practice Telephone | 3616540050 |
| Practice Fax Number | 3616540056 |
| Mailing Telephone | 3616540050 |
| Mailing Fax Number | 3616540056 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2011-06-14 |
| Authorized Official Name | JESSE G GARCIA (OWNER/MD) |
| Authorized Official Telephone | 3616540050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | L8345 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4621 S STAPLES SUITE A |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-2605 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737158 | Christopher Lawrence Dematt | Family Medicine | 14254 S Padre Island Dr, Corpus Christi, TX 78418-6277 | 2020-07-15 |
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669997953 | Keeps Medical Group, P.a. | Family Medicine | 13715 Hillwood Trl, Corpus Christi, TX 78410-4802 | 2017-08-07 |
| 1407376429 | Jessica L Six | Family Medicine | 1025 Morgan Ave, Corpus Christi, TX 78404-2041 | 2017-06-21 |
| 1568829778 | Salang Health Solutions LLC | Family Medicine | 4833 S Staples St Unit B, Corpus Christi, TX 78411-2609 | 2016-01-19 |
| 1124401088 | Jonathan Dancel | Family Medicine | 7218 S Padre Island Dr, Apt 38c, Corpus Christi, TX 78412-4332 | 2015-07-09 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1437400058 | Physicians Express Pllc | Family Medicine | 4929 Burney Dr Ste 120, Corpus Christi, TX 78411-2708 | 2012-09-21 |
| 1740557552 | Myriah Willborn | Family Medicine | 5802 Saratoga Blvd Ste 150, Corpus Christi, TX 78414-4254 | 2011-11-22 |
| 1194059477 | Anayda Graciela Landry | Family Medicine | 7101 S Staples St Ste 101, Corpus Christi, TX 78413-5543 | 2009-09-20 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
Please comment or provide details below to improve the information on COASTAL BEND PRIMARY CARE CORP.
| 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.