| |
2802 S Staples St Ste D Corpus Christi TX 78404-3615 | |
(361) 257-1909 | |
(361) 257-1558 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 2802 S Staples St Ste D, Corpus Christi, Texas |
Authorized Official Name and Position | Kristin Lucio (PARTNER) |
Authorized Official Contact | 3612571909 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 61160 Corpus Christi TX 78466-1160 Ph: (361) 257-1909 | 2802 S Staples St Ste D Corpus Christi TX 78404-3615 Ph: (361) 257-1909 |
NPI Number | 1629729017 |
---|---|
Provider Enumeration Date | 01/17/2022 |
Last Update Date | 12/19/2024 |
Medicare PECOS PAC ID | 1658765235 |
---|---|
Medicare Enrollment ID | O20220224001163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629729017 | NPI | - | NPPES |
447203701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David E Blanchard |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1780657791 PECOS PAC ID: 6305809948 Enrollment ID: I20041108000223 |
Provider Name | Tracy Lynn Culver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194233411 PECOS PAC ID: 8426310061 Enrollment ID: I20180320001679 |
Provider Name | Kristin Diane Lucio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639609167 PECOS PAC ID: 8628330818 Enrollment ID: I20180328001958 |
Provider Name | Melissa Deanne Soliz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821839648 PECOS PAC ID: 1951840404 Enrollment ID: I20240828001442 |
Michael S Lovoi Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13725 Northwest Blvd, Suite 260, Corpus Christi, TX 78410 Phone: 361-387-5161 Fax: 361-387-4871 | |
Corpus Christi Cardiovascular Center, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Elizabeth St, Suite 102, Corpus Christi, TX 78404 Phone: 361-887-8111 Fax: 361-887-8780 | |
Morgan Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2202 Morgan Ave, Corpus Christi, TX 78405 Phone: 361-884-3966 Fax: 361-884-1842 | |
Advanced Medical Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Elizabeth St, Corpus Christi, TX 78404 Phone: 361-881-3000 | |