Provider Demographics
NPI:1497270680
Name:TEXAS COASTAL BEND PULMONARY & CRITICAL CARE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:TEXAS COASTAL BEND PULMONARY & CRITICAL CARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMAKRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKILAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-226-1908
Mailing Address - Street 1:PO BOX 3928
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78463-3928
Mailing Address - Country:US
Mailing Address - Phone:361-226-1908
Mailing Address - Fax:361-332-4929
Practice Address - Street 1:6102 PARKWAY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-226-1908
Practice Address - Fax:361-332-4929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4061207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty