SOUTH TEXAS SPORTS MEDICINE INC (NPI# 1356660369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356660369 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS SPORTS MEDICINE INC |
| Practice Address |
5530 Lipes Blvd Corpus Christi TX 78413-5511 |
| Mailing Address |
203 Cedar Dr Portland TX 78374-2900 |
| Practice Telephone | 3619939494 |
| Practice Fax Number | 3619934477 |
| Mailing Telephone | 3619939494 |
| Mailing Fax Number | 3619934477 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | DONALD RAY ZYLKS (PRESIDENT) |
| Authorized Official Telephone | 3617284288 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH TEXAS SPORTS MEDICINE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
604380000 | TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083933097 | South Texas Sports Medicine Inc | Clinic/Center | 1007 Fm 3036, Fulton, TX 78358 | 2010-06-01 |
| 1235160250 | South Texas Sports Medicine Inc | Clinic/Center | 203 Cedar Dr, Portland, TX 78374-2900 | 2006-07-06 |
| Street Address |
5530 LIPES BLVD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78413-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326149477 | Marita Santiago De Vera | Physical Therapist | 5530 Lipes Blvd, Corpus Christi, TX 78413 | 2006-09-25 |
| 1235598707 | Stephen Roger Villanueva | Physical Therapist | 5530 Lipes Blvd, Corpus Christi, TX 78413-5511 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159097 | Lillian M Alvarez | Nurse Practitioner | 4638 Gayle Dr, Corpus Christi, TX 78413 | 2018-10-02 |
| 1891276952 | Juan J Penaflor | Physical Therapy Assistant | 5301 Timbergate Dr, Corpus Christi, TX 78413 | 2018-08-27 |
| 1992293526 | Tsl Cc Opco, LLC | Assisted Living Facility | 5441 Lipes Blvd, Corpus Christi, TX 78413 | 2018-04-30 |
| 1891297370 | Ercilia Cortez | Home Health | 5206 Mill Wood Drive, Corpus Christi, TX 78413 | 2018-03-01 |
| 1194112888 | Amor Home Health, Inc. | Hospice Care, Community Based | 6262 Weber Rd., Corpus Christi, TX 78413 | 2015-04-20 |
| 1093105934 | Kid's Clinic | Clinic/Center | 7017 South Texas, Corpus Christi, TX 78413 | 2015-01-30 |
| 1720483829 | Tlc Corpus Emergency Care LLC | Clinic/Center | 7330 S. Staples Street, Corpus Christi, TX 78413 | 2014-10-31 |
| 1427324102 | Dorothy Valdez Montelongo | Counselor | 5025 Maylands Dr, Corpus Christi, TX 78413 | 2012-03-28 |
| 1720361553 | Pediatrix Dental, P.a. | Dentist | 6120 S. Staples, Corpus Christi, TX 78413 | 2011-09-28 |
| 1114182243 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7442 South Staples St, Corpus Christi, TX 78413 | 2008-07-29 |
| Find all providers in zip 78413 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| 1851917801 | Fyzical Corpus Christi LLC | Clinic/Center | 3201 Airline Rd Ste E, Corpus Christi, TX 78414-3571 | 2020-06-24 |
| 1831752252 | Spark Rehab Specialist LLC | Clinic/Center | 6025 Tapestry Dr, Corpus Christi, TX 78414-6334 | 2019-04-22 |
| 1912349416 | Cowboy Home Health, Pllc | Clinic/Center | 14501 Compass St, Suite 117, Corpus Christi, TX 78418-6183 | 2013-07-24 |
| 1861526105 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2209 North Padre Island Drive, Suite M, Corpus Christi, TX 78408 | 2007-03-16 |
| 1396220042 | True Care Physical Therapy Pllc | Clinic/Center | 2222 Airline Rd Ste A9, Corpus Christi, TX 78414-2644 | 2018-09-28 |
| 1164813937 | Avila Physical Therapy | Clinic/Center | 2033 Airline Rd, Suite E-7, Corpus Christi, TX 78412-4626 | 2015-02-13 |
| 1972916054 | Orthopedic Pt Centers LLC | Clinic/Center | 5718 Spohn Dr, Suite 200, Corpus Christi, TX 78414-4235 | 2014-06-06 |
| 1316295678 | Corpus Christi Physical Therapy and Sports Medicine Center LLC | Clinic/Center | 5959 S Staples St, Suite 105, Corpus Christi, TX 78413-3846 | 2012-08-16 |
| 1225305709 | Witold Drozdowski, LLC | Clinic/Center | 701 Park Ave, Corpus Christi, TX 78401-3420 | 2011-11-28 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78413 |
Please comment or provide details below to improve the information on SOUTH TEXAS SPORTS MEDICINE INC.
| 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.