MR. KEITH AUSTIN WOMMACK (NPI# 1235402447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235402447 |
| Entity Type | Individual |
| Full Name | MR. KEITH AUSTIN WOMMACK |
| Credential | C.S.B. |
| Practice Address |
514 Ronson Dr Corpus Christi TX 78412-3152 |
| Practice Telephone | 3619922487 |
| Practice Fax Number | 3619916310 |
| Mailing Telephone | 3619922487 |
| Mailing Fax Number | 3619916310 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374K00000X | Religious Nonmedical Practitioner | Nursing Service Related Providers |
| Street Address |
514 RONSON DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78412-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029775 | Cuong Cao | Pharmacist | 1301 Airline Rd, Corpus Christi, Corpus Christi, TX 78412 | 2020-09-26 |
| 1427512995 | Joshni John | Specialist/Technologist | 6500 Ocean Drive, Corpus Christi, TX 78412 | 2019-01-29 |
| 1881193183 | Southside Specialty Surgical Center LLC | Clinic/Center | 6005 Holly Rd, Corpus Christi, TX 78412 | 2018-02-02 |
| 1689181919 | Avacorte Home Health | Home Health | 5206 Mill Wood Dr, Corpus Christi, TX 78412 | 2018-01-09 |
| 1215458245 | Ashley Kerr | Dentist | 6500 S.p.i.d., Ste 12, Corpus Christi, TX 78412 | 2017-06-29 |
| 1285155242 | Adan Lorenzo Narvaez | Physical Therapist | 2033 Airline Rd Ste E7, Corpus Christi, TX 78412 | 2017-06-29 |
| 1467992784 | Harrison Aj Hall | Prevention Professional | 2006 Airline Rd Apt 516, Corpus Christi, TX 78412 | 2017-03-06 |
| 1922468156 | Coastal Er Iv LLC | Clinic/Center | 7750 South Padre Island Drive, Corpus Christi, TX 78412 | 2016-03-01 |
| 1508282823 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7798 S. Padre Island Drive, Corpus Christi, TX 78412 | 2014-03-11 |
| 1215362553 | Michael Anthony Flores | Nurse Practitioner | 7101 S Pade Island, Corpus Christi, TX 78412 | 2013-09-05 |
| Find all providers in zip 78412 | ||||
| Taxonomy Code | 374K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Religious Nonmedical Practitioner |
| A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |
| Notes: Source: National Uniform Claim Committee , 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407158 | Heidi Katherine Iratcabal | Religious Nonmedical Practitioner | 6484 Lontos Dr, Dallas, TX 75214-6317 | 2020-11-04 |
| 1467065730 | Francia Noble | Religious Nonmedical Practitioner | 6150 Alma Rd Apt 2333, Mckinney, TX 75070-7327 | 2020-08-26 |
| 1053894600 | Elisha Mudzana | Religious Nonmedical Practitioner | 7116 Libby Rd # 4253, Plano, TX 75024-4937 | 2018-09-10 |
| 1285116137 | Save Our Ship Marooms LLC | Religious Nonmedical Practitioner | 3595 Grand St, Beaumont, TX 77703-3517 | 2018-09-06 |
| 1790039659 | Honor Ramsay Hill | Religious Nonmedical Practitioner | 4328 Shenandoah St, Dallas, TX 75205-2026 | 2012-10-30 |
| 1336778711 | Ephraim Joseph Anderson | Religious Nonmedical Practitioner | 3615 19th St, Lubbock, TX 79410-1203 | 2020-04-07 |
| City | CORPUS CHRISTI |
| Zip Code | 78412 |
Please comment or provide details below to improve the information on MR. KEITH AUSTIN WOMMACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.