| Corpus Christi Family Medicine Center Pa | |
|
601 Texan Trl Suite 200 Corpus Christi TX 78411-2547 | |
| (361) 808-7200 | |
| (361) 225-0020 |
| Full Name | Corpus Christi Family Medicine Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 601 Texan Trl, Corpus Christi, Texas |
| Authorized Official Name and Position | Jonathan E Martin (PRESIDENT) |
| Authorized Official Contact | 3618087200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corpus Christi Family Medicine Center Pa 601 Texan Trl Suite 200 Corpus Christi TX 78411-2547 Ph: (361) 808-7200 | Corpus Christi Family Medicine Center Pa 601 Texan Trl Suite 200 Corpus Christi TX 78411-2547 Ph: (361) 808-7200 |
| NPI Number | 1376513911 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 05/22/2012 |
| Medicare PECOS PAC ID | 3274662440 |
|---|---|
| Medicare Enrollment ID | O20100526000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376513911 | NPI | - | NPPES |
| 156123501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frederick R Sherron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427038363 PECOS PAC ID: 6507995776 Enrollment ID: I20100526000573 |
| Provider Name | Jonathan E Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831179191 PECOS PAC ID: 2961531132 Enrollment ID: I20100526000702 |
| Provider Name | David F Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659351500 PECOS PAC ID: 9133258304 Enrollment ID: I20100526000725 |
| Provider Name | Audra R Deardorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467946111 PECOS PAC ID: 4082950571 Enrollment ID: I20190103001448 |
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 |