| Coastal Bend Family Practice, Pa | |
|
600 Elizabeth St Corpus Christi TX 78404-2235 | |
| (361) 985-1221 | |
| (361) 985-1295 |
| Full Name | Coastal Bend Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Elizabeth St, Corpus Christi, Texas |
| Authorized Official Name and Position | Brent Lee Pennington (PRESIDENT) |
| Authorized Official Contact | 3619851221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Bend Family Practice, Pa Po Box 6696 Corpus Christi TX 78466-6696 Ph: (361) 985-1221 | Coastal Bend Family Practice, Pa 600 Elizabeth St Corpus Christi TX 78404-2235 Ph: (361) 985-1221 |
| NPI Number | 1376166710 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 7911325998 |
|---|---|
| Medicare Enrollment ID | O20200909000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376166710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rodolfo Bayardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265438097 PECOS PAC ID: 3375514854 Enrollment ID: I20040805001609 |
| Provider Name | Brent Lee Pennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205098753 PECOS PAC ID: 7416105457 Enrollment ID: I20131120001852 |
| Provider Name | Stacey Rene Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801314281 PECOS PAC ID: 7810259389 Enrollment ID: I20180321000257 |
| Provider Name | Sharon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891271433 PECOS PAC ID: 4880942036 Enrollment ID: I20180803000191 |
South Texas Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2472 Morgan Ave, Corpus Christi, TX 78405 Phone: 361-885-0075 Fax: 361-885-0308 | |
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 | |
South Texas Adult Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6200 Saratoga Blvd, Bldg 5, Corpus Christi, TX 78414 Phone: 361-225-2255 Fax: 361-854-3672 | |
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 | |
Port Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5607 Everhart Rd, Corpus Christi, TX 78411 Phone: 361-854-4601 Fax: 361-371-8376 |