SOUTHSIDE SPECIALTY SURGICAL CENTER LLC


Address: 6005 Holly Rd, Corpus Christi, TX 78412
Phone: 3615483334

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 6005 HOLLY RD
City CORPUS CHRISTI
State TX
Zip Code 78412

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City CORPUS CHRISTI
Zip Code 78412

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Dataset Information

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.

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