LAKE CORPUS CHRISTI FAMILY MEDICAL (NPI# 1619143195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619143195 |
| Entity Type | Organization |
| Organization Name | LAKE CORPUS CHRISTI FAMILY MEDICAL |
| Other Organization Name | COASTAL BEND HOUSE CALLS |
| Practice Address |
4838 Holly Rd Suite 209 Corpus Christi TX 78411-4753 |
| Practice Telephone | 3619924500 |
| Practice Fax Number | 3619924502 |
| Mailing Telephone | 3619924500 |
| Mailing Fax Number | 3619924502 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DR. RONALD G. MUNSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3619924500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | F4314 | TX | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Coastal Bend House Calls | Doing Business As Name - Organization |
| Street Address |
4838 HOLLY RD SUITE 209 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790794436 | Carol Ann Houston | Psychologist | 4838 Holly Rd, Ste 201, Corpus Christi, TX 78411-4770 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
| 1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
| 1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
| 1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
| 1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
| 1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
| 1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| Find all providers in zip 78411 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134323231 | Maurice S Grossman Md Facp Pa | Legal Medicine | 1001 Louisiana Ave Ste 307, Corpus Christi, TX 78404-2899 | 2007-06-13 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1972615888 | Mulukutla Ramakrishna | Legal Medicine | 3845 S Padre Island Dr, Corpus Christi, TX 78415-2919 | 2006-08-31 |
| 1750381075 | Maurice S Grossman | Legal Medicine | 1001 Louisiana Ave, Suite 307, Corpus Christi, TX 78404-2899 | 2005-07-28 |
| 1154339380 | Anthony Francis Asistido | Legal Medicine | 613 Elizabeth St, Ste. 702, Corpus Christi, TX 78404-2220 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477363 | Accurate Medical Evaluators, LLC | Legal Medicine | 2621 Fm 1201, Gainesville, TX 76240-1489 | 2020-11-07 |
| 1720404536 | Texas Star Anesthesia Management, LLP | Legal Medicine | 4020 Mcewen Rd, Suite 177, Dallas, TX 75244-5019 | 2014-03-17 |
| 1386919017 | Eastside Total Healthcare, LLC | Legal Medicine | 11680 Pebble Hills Blvd Ste 107-109, El Paso, TX 79936-1090 | 2012-03-13 |
| 1740586015 | Elite Sports Medicine Physical Therapy | Legal Medicine | 7125 New Sanger Rd Ste B, Waco, TX 76712-4054 | 2011-02-04 |
| 1578869103 | Vincent Joseph Dimaio | Legal Medicine | 10 Carriage Hls, San Antonio, TX 78257-1204 | 2011-01-29 |
| 1093023392 | Miguel Aleman,m.d&associates,p.a. | Legal Medicine | 1110 S 10th Ave, Edinburg, TX 78539-5514 | 2010-09-21 |
| 1386883007 | Callicoat Family Clinic | Legal Medicine | 1025 Deshong Dr, Paris, TX 75460-9330 | 2009-02-19 |
| 1003060153 | Dr. Michael R Kilgore Medical Group Pl L C | Legal Medicine | 5265 N 23rd St, Suite A, Mcallen, TX 78504-4004 | 2008-11-14 |
| 1538313002 | Family Practice Specialists,pa | Legal Medicine | 6300 W Parker Rd Ste 225, Plano, TX 75093-8102 | 2008-11-11 |
| 1184876039 | Sancak Yuksel | Legal Medicine | 6431 Fannin St # 5.036, Dept. of Otorhinolaryngology, Ut Health Science Center, Houston, TX 77030-1501 | 2008-10-22 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
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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.