South Padre Island Pediatric Center

LBN: South Padre Island Pediatric Center
South Padre Island Pediatric Center is an health care organization with primary practice located at 3845 S Spid Dr , Corpus Christi TX 78415-2919. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Padre Island Pediatric Center can be contacted via phone (361) 854-4626, or through Ramakrishna, Mulukutla via phone (361) 854-4626.

Contact Information

Primary practice address
3845 S Spid Dr Corpus Christi TX 78415-2919
Phone: (361) 854-4626
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ramakrishna, Mulukutla Doctor of Medicine (MD)
Phone: (361) 854-4626

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E4618 Texas

Profile Details

NPI number 1548450190
LBN Legal business name South Padre Island Pediatric Center
DBA Doing business as
Authorized official Ramakrishna, Mulukutla Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548450190 NPPES
Texas MEDICAID 093832601
Texas MEDICAID 127051404
Texas MEDICAID 645666168
Texas MEDICAID 121157503
Texas MEDICAID 127051405
Texas MEDICAID 645660168
Texas MEDICAID 127051403
Texas MEDICAID 645665166
Texas MEDICAID 092694101
Texas MEDICAID 127051407
Texas MEDICAID 645663163
Texas MEDICAID 127051406

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