SOUTHSIDE SPECIALTY SURGICAL CENTER LLC (NPI# 1881193183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881193183 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE SPECIALTY SURGICAL CENTER LLC |
| Practice Address |
6005 Holly Rd Corpus Christi TX 78412 |
| Mailing Address |
6025 Broadmoor Dr Corpus Christi TX 78413-2714 |
| Practice Telephone | 3615483334 |
| Mailing Telephone | 3615483334 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | GABRIEL LOPEZ (PHYSICIAN) |
| Authorized Official Telephone | 3612250089 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
6005 HOLLY RD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78412 |
| 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 |
| 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 |
| 1609200781 | Jose Eliud Fuentes | Ophthalmology | 5533 Ocean Drive, Corpus Christi, TX 78412 | 2013-08-26 |
| Find all providers in zip 78412 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346740719 | Dialysis Access Center Corpus Christi Asc LLC | Clinic/Center | 6202 Dunbarton Oak St, Corpus Christi, TX 78414-3597 | 2018-02-13 |
| 1588039465 | Saratoga Surgical Center, LLC | Clinic/Center | 6214 Saratoga Blvd Bldg 6, Corpus Christi, TX 78414-3421 | 2015-12-03 |
| 1154434579 | Abdominal Specialists of South Texas | Clinic/Center | 1301 Ocean Drive, Corpus Christi, TX 78404-2206 | 2006-08-17 |
| 1053714758 | Texas Precision Surgery Center | Clinic/Center | 5721 Esplanade Dr, Corpus Christi, TX 78414-4138 | 2014-10-08 |
| 1730369802 | Shoreline Surgery Center LLP | Clinic/Center | 718 Elizabeth St, Corpus Christi, TX 78404-2212 | 2007-11-06 |
| 1700073566 | Abc Plastic Surgery Center Pa | Clinic/Center | 1521 S Staples St, Ste 404, Corpus Christi, TX 78404-3150 | 2007-09-26 |
| 1831238773 | Corpus Christi Endoscopy Center LLP | Clinic/Center | 6421 Saratoga Blvd, Bldg 105, Corpus Christi, TX 78414-3479 | 2007-02-06 |
| 1578610564 | Spinecare, L.l.p. | Clinic/Center | 5734 Spohn Dr, Suite B, Corpus Christi, TX 78414-4116 | 2007-01-04 |
| 1215091087 | Corpus Christi Surgicare Ltd | Clinic/Center | 3636 S Alameda St, Ste A, Corpus Christi, TX 78411-1723 | 2006-12-19 |
| 1710071543 | Coastal Bend Surgery Center, Ltd. | Clinic/Center | 5837 Spohn Dr, Corpus Christi, TX 78413-4121 | 2006-10-03 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78412 |
Please comment or provide details below to improve the information on SOUTHSIDE SPECIALTY SURGICAL CENTER LLC.
| 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.