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Contact Information

MEDICAL SPECIALIST GROUP PA
3434 SARATOGA BOULEVARD
CORPUS CHRISTI, TX78415
 Phone: 361-852-0852
 Fax: 361-852-0256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MEDICAL SPECIALIST GROUP PA

NPI # 1396949152
LBN Legal business name MEDICAL SPECIALIST GROUP PA
Authorized official JAIRO PUENTES - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2007
Last updated 02/19/2008 - About 18 years ago
Identifiers
TX License # MDE2071
TX Other 0047CV BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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