South Padre Island Pediatric Center in Corpus Christi - Specialist
South Padre Island Pediatric Center - NPI 1548450190
South Padre Island Pediatric Center is a Specialist in Corpus Christi, Texas. South Padre Island Pediatric Center practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Padre Island Pediatric Center is 1548450190. The last update date is 2007-07-30.
South Padre Island Pediatric Center's current location address is 3845 S Spid Dr, Corpus Christi, Texas. You can contact this provider via phone number 3618544626. The mailing address for South Padre Island Pediatric Center is 3845 S Spid Dr, Corpus Christi, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Padre Island Pediatric Center |
|---|---|
| Address | 3845 S Spid Dr, Corpus Christi, Texas |
| Phone Number | 3618544626 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ramakrishna Mulukutla |
| Credentials | M.D. |
| Telephone Number | 3618544626 |
NPI Number Detail
| NPI Number | 1548450190 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 3845 S Spid Dr |
|---|---|
| City | Corpus Christi |
| State | Texas (TX) |
| Post Code | 784152919 |
| Phone Number | 3618544626 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | E4618 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93832601 | TX | -- | |
| 127051404 | TX | -- | |
| 645666168 | TX | -- | |
| 121157503 | TX | -- | |
| 127051405 | TX | -- | |
| 645660168 | TX | -- | |
| 127051403 | TX | -- | |
| 645665166 | TX | -- | |
| 92694101 | TX | -- | |
| 127051407 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to South Padre Island Pediatric Center?
The South Padre Island Pediatric Center has been issued the NPI (National Provider Identifier) 1548450190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where South Padre Island Pediatric Center is physically located?
The South Padre Island Pediatric Center is situated at the following address: 3845 S Spid Dr, Corpus Christi, TX 784152919.
What is South Padre Island Pediatric Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Padre Island Pediatric Center is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did South Padre Island Pediatric Center receive its 1548450190 assignment?
The South Padre Island Pediatric Center was assigned its 1548450190 on 2007-07-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to South Padre Island Pediatric Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Padre Island Pediatric Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-30.