Kids Clinic Pa in Corpus Christi - Preferred Provider Organization
Kids Clinic Pa - NPI 1376767913
Kids Clinic Pa is a Preferred Provider Organization in Corpus Christi, Texas. Kids Clinic Pa practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Kids Clinic Pa is 1376767913. The last update date is 2013-08-29.
Kids Clinic Pa's current location address is 7017 S Staples St, Corpus Christi, Texas. You can contact this provider via phone number 3619947255 and fax number 3619947740. The mailing address for Kids Clinic Pa is 7017 S Staples St, Corpus Christi, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kids Clinic Pa |
|---|---|
| Address | 7017 S Staples St, Corpus Christi, Texas |
| Phone Number | 3619947255 |
| Fax Number | 3619947740 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Fader A William |
| Credentials | MD |
| Telephone Number | 3619947255 |
NPI Number Detail
| NPI Number | 1376767913 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2013-08-29 |
Provider Mailing Address Detail
| Address | 7017 S Staples St |
|---|---|
| City | Corpus Christi |
| State | Texas (TX) |
| Post Code | 784135507 |
| Phone Number | 3619947255 |
| Fax Number | 3619947740 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | H3035 |
|
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121271401 | TX | -- | |
| 121271404 | TX | -- |
Post Comment/ Review Below
What is the Kids Clinic Pa's 1376767913?
The Kids Clinic Pa's NPI (National Provider Identifier) Number is 1376767913. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kids Clinic Pa is physically located?
The Kids Clinic Pa is physically situated at the following address: 7017 S Staples St, Corpus Christi, TX, 784135507.
What is Kids Clinic Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kids Clinic Pa's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
On what date did the Kids Clinic Pa receive its 1376767913 assignment from the Centers for Medicare & Medicaid Services?
The Kids Clinic Pa was assigned its 1376767913 by the Centers for Medicare & Medicaid Services on 2007-04-13.
When was the Kids Clinic Pa's information last updated?
The Kids Clinic Pa's information was last updated on 2013-08-29.
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