EXECUTIVE MEDICAL CLINIC (NPI# 1265634083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265634083 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE MEDICAL CLINIC |
| Practice Address |
2601 Hospital Blvd Ste 117 Corpus Christi TX 78405-1815 |
| Practice Telephone | 3618848209 |
| Practice Fax Number | 3618826649 |
| Mailing Telephone | 3618848209 |
| Mailing Fax Number | 3618826649 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. C.J. BURGIN (PRESIDENT) |
| Authorized Official Telephone | 2107679042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2601 HOSPITAL BLVD STE 117 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78405-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288141 | Alberto Enrique De La Guardia | Obstetrics & Gynecology | 2601 Hospital Blvd, Suite 216, Corpus Christi, TX 78405-1815 | 2005-07-08 |
| 1497288153 | Dana Nguyen | Emergency Medicine | 2601 Hospital Blvd, Suite 113, Corpus Christi, TX 78405-1815 | 2017-04-09 |
| 1780048066 | Laura Sample | Pharmacist | 2601 Hospital Blvd, Suite 112 and 117, Corpus Christi, TX 78405-1815 | 2016-04-12 |
| 1427319979 | Keegan Massey | Emergency Medicine | 2601 Hospital Blvd, Suite 117, Corpus Christi, TX 78405-1815 | 2012-05-31 |
| 1326308263 | Conrado Cantu Jr. | Family Medicine | 2601 Hospital Blvd, Suite 117, Corpus Christi, TX 78405-1815 | 2012-05-25 |
| 1376843755 | Mary Margaret Ara | Family Medicine | 2601 Hospital Blvd, Corpus Christi, TX 78405-1804 | 2010-11-01 |
| 1093047151 | Medical Oncology Associates, P.l.l.c. | Specialist | 2601 Hospital Blvd, Suite 218, Corpus Christi, TX 78405-1815 | 2010-02-01 |
| 1225366370 | Dr. Raymond B. Acebo | Internal Medicine | 2601 Hospital Blvd, Ste. #201, Corpus Christi, TX 78405-1815 | 2009-12-01 |
| 1023267556 | Rufino H. Gonzalez, M.d., P.a. | Durable Medical Equipment & Medical Supplies | 2601 Hospital Blvd, Suite 205, Corpus Christi, TX 78405-1815 | 2008-09-09 |
| 1942343090 | Narain D. Mangla | Specialist | 2601 Hospital Blvd, Suite 103, Corpus Christi, TX 78405-1815 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1003234493 | Alma S Rigona, M.d., P.a. | Pediatrics | 2418 Morgan Avenue, Corpus Christi, TX 78405 | 2014-04-02 |
| 1780022491 | Texas A&m Health Science Center-coastal Bend Health Education Center | Nutritionist | 4101 Old Brownsville Road, Hs1 Building, Suite 262, Corpus Christi, TX 78405 | 2013-06-05 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| 1427298843 | E&l Construction | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2823 Coleman St, Corpus Christi, TX 78405 | 2009-02-25 |
| 1124205109 | Gulfshore Services Inc | Clinical Medical Laboratory | 401 South Padre Island Road, Suit 102, Corpus Christi, TX 78405 | 2008-01-22 |
| Find all providers in zip 78405 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770971434 | I-med | Clinic/Center | 13725 Northwest Blvd, Stye. 260, Corpus Christi, TX 78410-5127 | 2015-01-05 |
| 1801856786 | Children's Physician Services | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1669086963 | Cl Haven Enterprises | Clinic/Center | 4443 Loop 322, Abilene, TX 79602-8056 | 2020-09-03 |
| 1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
| 1053939140 | Crossover Health Medical Group | Clinic/Center | 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116-3342 | 2020-07-06 |
| 1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
| 1770107856 | Vascular Institute of Houston Pllc | Clinic/Center | 815 Brazos St Ste 500, Austin, TX 78701-2509 | 2020-06-03 |
| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78405 |
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| 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.