FIRST ASSISTANTS OF SOUTH TEXAS (NPI# 1336771062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336771062 |
| Entity Type | Organization |
| Organization Name | FIRST ASSISTANTS OF SOUTH TEXAS |
| Practice Address |
6256 Lemans Dr Corpus Christi TX 78414-6131 |
| Practice Telephone | 3615373209 |
| Practice Fax Number | 3613360217 |
| Mailing Telephone | 3615373209 |
| Mailing Fax Number | 3613360217 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | JACOB D SKORUPPA (PRESIDENT) |
| Authorized Official Telephone | 3615373209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6256 LEMANS DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1790267698 | Christine Rodriguez | Occupational Therapy Assistant | 3913 Eckner, Corpus Christi, TX 78414 | 2018-09-06 |
| 1588145643 | Teresita Elodia True | Physical Therapy Assistant | 3222 Hampton St, Corpus Christi, TX 78414 | 2018-08-27 |
| 1366923443 | Diana Solis | Occupational Therapy Assistant | 3801 Cimmaron Blvd, York Ave, Corpus Christi, TX 78414 | 2018-08-27 |
| 1780164335 | Marie Guardiola | Occupational Therapy Assistant | 6802 Jets Court, Corpus Christi, TX 78414 | 2018-08-14 |
| 1962905075 | Gabriel Shelton | Chiropractor | 5650 Woolridge Rd, Corpus Christi, TX 78414 | 2018-03-14 |
| 1154838779 | Maria Graciella Dizon Devera-ferrer | Physical Therapist | 6033 Maximus Drive, Corpus Christi, TX 78414 | 2018-01-04 |
| 1629594775 | Mildred Necesario Macasinag | Physical Therapist | 7805 Pavo Real St., Corpus Christi, TX 78414 | 2017-08-21 |
| 1790201176 | Christopher Muse | Counselor | 3126 Rodd Field Road, Corpus Christi, TX 78414 | 2017-08-17 |
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| Find all providers in zip 78414 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| 1740517945 | Mari Katrina D Capupus | Physician Assistant | 2706 W Mount Dr, Corpus Christi, TX 78414-3211 | 2009-11-09 |
| 1083800874 | Eileen M Widrick | Physician Assistant | 3945 Ih 69 Access Rd, Corpus Christi, TX 78410-4531 | 2007-09-14 |
| 1235169400 | Paul Donnelly Bridges | Physician Assistant | 14493 S Padre Island Dr, A-320, Corpus Christi, TX 78418-5931 | 2006-07-04 |
| 1497731632 | Teresa Morris | Physician Assistant | 4030 River Hill Dr, Corpus Christi, TX 78410-5606 | 2005-12-20 |
| 1538150206 | Darin Michael Mccann | Physician Assistant | 7101 Williams Dr, Corpus Christi, TX 78412-4947 | 2005-11-02 |
| 1417956574 | Jeffrey Travis Green Jr. | Physician Assistant | 2502 Morgan Ave, Corpus Christi, TX 78405-1807 | 2005-07-20 |
| 1083158802 | Padgett Parker | Physician Assistant | 14120 Northwest Blvd, Corpus Christi, TX 78410-5121 | 2016-12-13 |
| 1437605466 | Woonsik Lee | Physician Assistant | 1521 S Staples St Ste 803, Corpus Christi, TX 78404-3187 | 2016-08-30 |
| 1194045187 | Jermahl David Mckissick | Physician Assistant | 10651 E St, Naval Health Clinic Corpus Christi Tx, Corpus Christi, TX 78419-5130 | 2010-06-02 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78414 |
Please comment or provide details below to improve the information on FIRST ASSISTANTS OF SOUTH TEXAS.
| 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.